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Manager Clinical Programs Transplant and High Cost Cases Director

quantum-health
quantum-health Salary
Center, OH Full Time
POSTED ON 3/28/2025
AVAILABLE BEFORE 4/27/2025
About Us
Quantum Health was founded in 1999 with a mission to simplify healthcare for our millions of members. Our team of big-hearted, tech-savvy professionals fights to ensure that our members get the care they need when they need it at the most affordable cost. We believe that no one should have to navigate the cost and complexity of healthcare alone.

Role Overview
The Manager Clinical Program, Transplant and High Cost Case is a key position within our clinical model, responsible for ensuring consistency and providing oversight of transplant and high cost case department activities. This role will function as a Subject Matter Expert (SME) for all transplant and high cost case services, working in conjunction with clinical leadership to meet transplant and high cost case clinical initiatives, outcomes, and performance goals for this service.

Responsibilities
- Ensuring compliance with relevant regulatory requirements
- Assisting with day-to-day problem-solving, Q&A, and protocol guidance for staff
- Promoting a focus on quality, consistency, and effectiveness
- Supporting staff performance management and coaching efforts, as needed

Requirements
- Active license as a Registered Nurse in the state of Ohio
- RN with a BSN or equivalent experience
- Minimum of 2 years of clinical experience with direct patient care
- Minimum of 2 years of clinical program management or supervisory experience preferred

What We're Looking For
- Excellent interpersonal communication skills
- Ability to make decisions that are timely and achieve results consistent with business goals and organizational culture
- Possess excellent time management skills
- Ability to work independently with minimal supervision
- Possess excellent critical thinking skills
- Ability to create, track, and trend program metrics to ensure successful program outcomes

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