Job Description

Description

Welcome Bonus: $2,500.00 for external candidates (does not apply to rehires) 

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

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 what makes us 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 Registered Nurse (RN) - Oncology Review is responsible for reviewing oncology service requests related to clinical trials, chemotherapy and radiation therapy for enrollees of Quantum Health’s employer groups. This position will work to increase the consistency and efficiency of oncology service requests.  

What you’ll do  

• Review and process all requests for oncology services related to clinical trials, chemotherapy and radiation.  
• Work with Medical Director/Physician reviewer for all requests requiring physician review.  
• Communicate with member, provider, facility and all internal work groups regarding outcome of requests. 
• Maintain a working knowledge of all clinical processes and workflows, as well as all employer benefit plans and how to access needed information.  
• May serve as a Subject Matter Expert (SME) for a clinical process or content area; may participate in educational training with clinical staff regarding oncology nursing services.  
• Identification of members who may be appropriate for case management services (Complex, High cost, Transplant); Identify care coordination opportunities and work with clinical teams to coordinate oncology services.  
• All other duties as assigned.   

What you’ll bring  

• Licensure: Active license in good standing as a Registered Nurse (RN) in Ohio required.  
• Education: Bachelor of Science in Nursing (BSN) preferred.  
• Certification: Active Oncology certification preferred.  
• 2+ years of clinical oncology experience with direct patient care required.  
• Strong working knowledge of NCCN (National Cancer Comprehensive Network) guidelines.  
• 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 .   
• 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.