Location: This position is located at our Dublin, OH campus with hybrid flexibility.

We’re on a mission to make healthcare simpler and more effective. We fight to ensure our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors™. We’re committed to building diverse and inclusive teams, so if you’re excited about this position, we encourage you to apply – even if your experience doesn’t match every requirement.

The Clinical Operations Manager, Case Management and Disease Management Program is responsible for ensuring the overall effectiveness of Quantum’s Personal Care Guide (PCG) program.

What you’ll do

• Maintain oversight of PCG program design, execution and effectiveness
• Ensure alignment with organizational priorities and strategic initiatives
• Maintain processes, protocols, tools and systems that support program objectives
• Continuously monitor outcomes, address gaps and/or refine strategy as needed
• Ensure compliance with relevant regulatory requirements
• Serve as the primary clinical SME for internal and external parties
• Provide matrixed leadership and subject matter expertise for Pod-based PCG staff
• Directly manage a team of Rapid Response nurses and a team of Behavioral Health Post-Discharge outreach clinicians
• Assist with day-to-day problem-solving, Q&A, and protocol guidance for staff
• Promote a focus on quality, consistency, and effectiveness
• Support staff performance management and coaching efforts, as needed
• Facilitate regular team discussions that reinforce key needs/expectations/initiatives, promote an awareness of program and staff performance, and provide a forum for Q&A
• Participate in interviewing, onboarding and orientation of new staff, as needed
• Partner with leaders to manage the placement and assignments of staff. Continuously evaluate the staffing distribution and workload to ensure adequate balance. Adjust coverage as needed. All other duties as assigned.

What you’ll bring

• Active license as a Registered Nurse in the state of Ohio
• BSN or equivalent experience
• Minimum of 2 years clinical experience with direct patient care
• Minimum of 2 years of case management and/or disease management experience
• Minimum of 2 years of clinical program management or supervisory experience preferred
• Excellent verbal and written communication skills
• Certification in Case Management or equivalent credentials or expertise
• Self-directed, organized, energetic, compassionate and “out of the box thinker”
• Excellent critical thinking skills
• Ability to work independently with minimal supervision
• Protect and take care of our company and member’s data every day by committing to work within our company ethics and policies
• Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently.
• Trustworthy and accountable behavior, capable of viewing and maintaining confidential information daily.

What’s in it for you

• Compensation: Competitive base pay, incentive plans and employee referral bonuses.
• Coverage: Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more.
• Retirement: 401(k) plan with up to 4% employer match and full vesting on day one.
• Balance: Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
• Development: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.
• Culture: Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision.
• Environment: A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more! Check out our home: https://youtu.be/xRnbvCW_YgA

What you should know

• Internal Associates: Already a Healthcare Warrior? Apply internally through Jobvite.
• Process: Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check
• Diversity, Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers, we’re committed to empowering our ERGs, and we’re proud to be an equal opportunity employer.
• Agencies: Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.
• Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.

#LI- HW1 #LI- Hybrid

Note: Compensation information published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate’s unique combination of experience and qualifications related to the position.

Recruiting Scams: Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending in @quantum-health.com. Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment.

If you believe you’ve encountered a recruiting scam, report it to the Federal Trade Commission at ReportFraud.ftc.gov and your state’s Attorney General at https://www.usa.gov/state-attorney-general.