Hybrid RN: Pre-Certification & Care Coordination

Quantum Health; Dublin (OH); Hybrid; USD 60,000 - 80,000; Full time

Job summary

A healthcare navigation organization in Dublin, OH is seeking an RN for the Pre-Certification role. Responsibilities include managing prior authorization processes, coordinating patient care services, and working closely with clinical teams. Candidates must hold an active RN license in Ohio and have two years of clinical experience. This full-time position offers hybrid work flexibility and supports a mission-driven approach to healthcare navigation.

Qualifications

• Active RN license in Ohio required; LPNs at Quantum Health may be considered.
• Minimum of two years clinical experience with direct patient care in a hospital.
• Strong communication abilities with patients and physicians.

Responsibilities

• Evaluate requests for prior authorization and communicate outcomes.
• Coordinate health management services for patients.
• Utilize clinical knowledge to make independent decisions on service requests.

Skills

Effective communication

Critical thinking

Time management

Administrative/technical skills

Research aptitude

Education

Active Registered Nurse (RN) license in Ohio

Minimum of two years clinical experience

Tools

Microsoft Office Suite

IM/video conferencing tools (Teams & Zoom)

Job description

A healthcare navigation organization in Dublin, OH is seeking an RN for the Pre-Certification role. Responsibilities include managing prior authorization processes, coordinating patient care services, and working closely with clinical teams. Candidates must hold an active RN license in Ohio and have two years of clinical experience. This full-time position offers hybrid work flexibility and supports a mission-driven approach to healthcare navigation.