Nursing Jobs in Bethesda, MD
$89,065 - $162,801 / year
About this Job: General Summary of Position The Nurse Navigator is responsible for the coordination of patient care across the continuum under the auspices of a provider's prescribed plan of care national guidelines and within the scope of nursing practice. The navigator educates/provides information and support to patients in order to guide and facilitate understanding of treatment plans prescribed by licensed independent practitioners and/or within scope of nursing practice. Oversees directs and provides holistic culturally competent and evidence-based nursing care. Monitors patient outcomes and participates in quality improvement activities. Contributes to and collaborates with health care team members to positively impact patient outcomes and patient experiences. The Nurse Navigator is recognized as a professional role model and clinical expert and promotes a professional environment that supports nursing excellence and collaborative shared decision-making. Primary Duties and Responsibilities Assessment: Obtains a baseline of information used for the development of the individualized plan of care. Plans: Works with an interdisciplinary team throughout the continuum of care to develop and manage the plan of care for the patient. Plans: Assists patient/family with scheduling ancillary testing and other services and presenting necessary history diagnostic/treatment studies and/or results etc. through the continuum of care. Plans: Assists at risk patients family and friends with risk assessment screening and education by working collaboratively with appropriate resources. Plans: Plans for continuing care such as but not limited to patient and community services community outreach resources home care palliative and hospice services as necessary. Patient Education: Provides initial and continuing education related to specific disease process associated treatment modality and agreed plan of care for patient and family. Patient Education: Available as a resource to assist in the provision of community education and outreach development. Implementation: Acts as a liaison between patients families the health care team community resources and other facilities to coordinate the provision of care. Implementation: Acts as a patient advocate to help identify and eliminate barriers to care. Implementation: Acts as a clearinghouse for incoming referral calls in an effort to streamline the delivery and coordination of care. Implementation: Ensures patients' referral process and transition into specialty services are timely and efficient anticipates patient and family needs throughout the continuum of care. Implementation: Explores and connects patients with appropriate resources health care and support services within MedStar Washington Hospital Center at other external facilities and in their communities for timely diagnosis treatment and survivorship. Takes action to support the National Patient Safety Goals nursing sensitive indicators regulatory requirements (i.e. DC Health TJC) and other identified quality metrics. Supports and promotes quality and patient safety initiatives. Collaborates with physicians and associates to monitor and analyzes departmental performance data and identifies and participates in hospital and/or unit-based performance improvement activities including but not limited to core measures nursing quality indicators and other patient care outcomes (e.g. Length of stay and patient satisfaction).*Delivers direct patient care as required. Evaluation: Monitors patient progress goal attainment and patient experience feedback to evaluate the effectiveness of care. Ensures plan of care changes are communicated to patient family and team. Possesses working knowledge of physician/health care team members' plan of care appropriate professional guidelines and standards of care. Contributes to development of internal clinical guidelines/pathways. Monitors patient outcomes and utilizes quality improvement activities and strategies that support quality patient care and optimizes outcomes in an interdisciplinary care environment and consistent with patient and family wishes. Demonstrates competencies including knowledge and behaviors to meet specific patient care requirements nursing practice standards and other regulatory or required knowledge and /or skills. Maintains current knowledge of clinical improvement strategies and outcomes management through self-study literature reviews site visits educational conferences and other forums. Maintains a working knowledge of available clinical trials that might be appropriate to the patient population. Collaborates with research coordinators and/or principle investigators to ensure adherence to research protocols. Promotes Pathway to Excellence standards through daily practice. Supports a professional atmosphere and an environment of coaching and development that supports shared decision making interdisciplinary collaboration and a high level of patient and employee satisfaction as evidenced by outcomes data. Minimal Qualifications Education Associate's degree in Nursing required Bachelor's degree in Nursing preferred For candidates hired with an Associate degree employment with MedStar Wahington Hospital Center is contingent upon enrollment into an accredited BSN program within one (1) year of employment and continuing matriculation in the program to achieve a BSN within 5 years of the program start date. Proof of enrollment to be submitted to Nurse Leader. Experience 3-4 years of progressively more responsible clinical nursing experience in specialty area required Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia required CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required Additional unit/specialty certifications may vary by department or business unit. Professional certification in clinical area required within one year of hire if appropriate (OCN CCRN etc). within 1 Year required Knowledge Skills and Abilities Able to work as a part of an interdisciplinary team through open frequent and skilled verbal and written communication. Must be flexible demonstrate problem solving skills proactively prioritize and demonstrates healthy coping mechanisms. This position has a hiring range of : USD $89,065.00 - USD $162,801.00 /Yr. $110,052.80 - $183,414.40 / year
111 Michigan Avenue Northwest Washington, DC 20010 Kids Are Our Everything. Department 10349 Gastroenterology Pay Range $110,052.80 - $183,414.40 The Advanced Practice Provider (APP) is credential by the medical staff and functions within their scope of practice in their jurisdictional area and in accordance with organizational medical staff bylaws. They are responsible for providing evidenced-based care for the management of patients, including assessment, implementation and evaluation of a detailed plan of care, which incorporates diagnostic and therapeutic interventions. The APP demonstrates competency in providing age-appropriate care to patients as defined by certification and training and provides family centered care to meet family needs, including psychological support, education and discharge planning in conjunction with other related disciplines. The APP initiates, participates and collaborates with divisional and organizational multi-disciplinary staff to provide and support evidence-based education, quality improvement and research. They participate in professional and organizational activities that contribute to improving patient care, the scientific knowledge base of advanced practice, program operation, and individual professional development. The APP provides leadership within their respective clinical area through participation in division projects and mentorship of others. They contribute to department and organization wide initiatives, representing advanced practice and promoting the role of the advanced practice provider. Minimum Education Master's Degree Nurse Practitioner Master's or Doctoral degree as a Nurse Practitioner from an accredited program and eligibility for medical staff credentialing required. Physician Assistant Master’s or Doctoral degree of Physician Assistant Studies from an accredited program and eligibility for medical staff credentialing required. Clinical Nurse Specialist Master’s or Doctorate degree in the clinical specialty area in which they practice from an accredited program and eligibility for medical staff credentialing required. (Required) Minimum Work Experience 0 years Minimum of 0 years of experience as an Advanced Practice Provider (Required) Required Skills/Knowledge Strong knowledge of clinical specialty and services. Demonstrates clinical leadership skills. Excellent written and verbal communication skills. Required Licenses And Certifications Advanced Practice Registered Nurse (APRN) Nurse Practitioner Licensure in the state(s) of clinical practice CDS in state(s) of clinical practice DEA (Required) Or Physician Assistant 1. Licensure in the state(s) of clinical practice CDS in state(s) of clinical practice DEA (Required) Or Advanced Practice Registered Nurse (APRN) Clinical Nurse Specialist Licensure in the state(s) of clinical practice If Prescribing Controlled Substances CDS in state(s) of clinical practice DEA (Required) Or Nurse Practitioner Active national certification with governing body such as PNCB, ANCC, or AANPCB BLS certification (Required) Physician Assistant Active national certification with NCCPA BLS certification (Required) (Required) Basic Life Support for Healthcare Provider (BLS) (Required) Functional Accountabilities Clinical Assesses, diagnoses, and monitors clinical status of each patient utilizing evidenced based practice and medical knowledge. Develops appropriate plan of care. Writes patient care orders, prescribes therapy, and provides necessary home care orders as needed. Identifies significant changes in patient status using physical exam, lab values, diagnostic tests, and patient/family input. Differentiates between normal and abnormal findings. Performs procedures as needed after obtaining appropriate credentialing. Participates in and/ or leads multidisciplinary patient care. Is a clinical resource for patient, parents and the interdisciplinary team. Appropriately communicates and escalates clinical/administrative issues. Collaborates with nursing, medicine, and other members of the healthcare team to regularly ensure quality patient care. Administrative Serves as a clinical preceptor to NP, CNS or PA students. Acts as a clinical resource for staff in patient care issues. Provides formal/informal educational presentation to staff on areas of expertise. Participates and leads quality improvement initiatives in their department. The disclosed salary range includes the minimum and maximum rates within which Children’s National believes an individual’s base pay rate will fall for this position. It is not typical for an individual to be hired at or near the maximum of the pay range. The exact pay rate for this position will be based on a variety of factors in alignment with the Children’s National compensation philosophy. These factors are legitimate and non-discriminatory including, but not limited to, the current market conditions; organizational needs; the individual’s combination of prior work experience, level of education, knowledge, skills, and other qualifications. Children’s National is committed to providing a fair and competitive total rewards package to each of our employees. This base salary range does not include our comprehensive benefits package or any additional compensation for which this position may be eligible. Childrens National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law. The “Know Your Rights” poster is available here: and the pay transparency policy is available here: Know Your RightsPay Transparency Nondiscrimination Poster. Please note that it is the policy of Children's National Hospital to ensure a “drug-free” work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors). Though recreational and medical marijuana are now legal in the District of Columbia, Children's National and its affiliates maintain the right, in accordance with our policy, to enforce a drug-free workplace, including prohibiting recreational or prescribed marijuana. 
$93,288 - $222,976 / year
About this Job: General Summary of Position The Clinical Administrator is a member of MedStar Health entity-based Division of Nursing and leadership team. The role is accountable for directing and supervising clinical and administrative resources to ensure the provision of holistic culturally competent quality safe and cost-effective evidence-based nursing care for patients and families. This is accomplished by direct action delegation coaching and support of the Division of Nursing's associates and shared/collaborative governance activities. The Clinical Administrator is recognized as a professional role model and clinical expert who promotes a professional practice and care environment that supports continuous learning.The Clinical Administrator assumes leadership authority and responsibility during a specific shift (e.g. day evening night and/or weekend) either for a designated number of patient care units/departments or the hospital at large. Collaborates with the members of the Nursing Leadership team and other administrators/leaders within the hospital in maintaining adherence to regulatory and accreditation standards and MedStar Health's policies and procedures. Demonstrates leadership and behaviors which are consistent with MedStar's mission vision goals SPIRIT Values patient care philosophy and sound moral and ethical judgement. Primary Duties and Responsibilities Assumes clinical and administrative supervision of nursing and patient care services for multiple units/departments or hospital/entity. Consults advises or informs nursing providers and other leaders concerning issues that arise and their resolution as appropriate unit needs and/or problems during the shift worked. Escalates concerns applying the chain of command. Consults and communicates with nursing and hospital administration as well as senior medical staff and other Nurse Leaders concerning any operational issues or matters pertaining to staffing and the management of assigned areas. Functions as liaison between patient care administration and medical staff. Creates a professional atmosphere and an environment of coaching and development that supports shared/collaborative governance. Ensures effective utilization of the interdisciplinary model of care (IMOC) and associated standards of excellence. Rounds on patients during the shift for the purpose of engagement satisfaction and improvement in the care experience. Investigates and follows through on patient complaints and safety events. Assists Nurse Leaders in selecting training and orienting department personnel. Contributes to the development of standards of performance evaluating performance and conducting performance management planning for associates as appropriate. Initiates or makes recommendations for associate counseling and corrective action. Maintains ongoing communication with leaders to review programs provide feedback discuss new developments and exchange information. Manages materials equipment and supply activities assuring adequate availability and utilization. Communicates material and supply needs to departmental leaders. Participates in product selection and evaluation as appropriate. Coordinates with the Capacity Management and/or Admissions Departments to strategize for the daily flow of patients into and out of beds. Rounds routinely on each nursing unit and other departments to identify empty beds actual/potential discharges and transfers. Communicates this information back to the Admissions Department. Evaluates the effectiveness of bed turnover and communicates with Environmental Services as necessary. Monitors high risk patients and complicated conditions and institutes appropriate actions. Ensures compliance with unit divisional and hospital policies procedures as well as regulatory and accreditation standards. Prepares written documentation as required. Maintains required reports records statistics and notes. Receives and reviews preceding shift reports and notes patients' conditions when rounding on units. Coordinates department wide staffing patterns to meet safe and efficient staffing levels for each unit. Adjusts staffing to meet patient care needs and to provide adequate and fiscally responsible coverage of all units. Assists Nurse Leaders with unit/departmental staffing through coordination of float pool agency and per diem personnel. Supervises coordinates and evaluates patient care services interventions during assigned shift. Intervenes where necessary to assure optimal patient care outcomes by utilizing approaches and strategies that support and optimize outcomes. Takes action to support the National Patient Safety Goals nursing sensitive indicators regulatory requirements and other identified quality metrics. Maintains and demonstrates a professional patient-first atmosphere and an environment of coaching and development that supports shared decision making interdisciplinary collaboration and a high level of patient and associate satisfaction as evidenced by outcomes data. Provides shift-based clinical leadership through role modeling professional practice behaviors proper delegation of activities and management of the nursing team by maintaining staff accountability. Evaluates the need for and contributes to improvement in the professional practice environment. Participates in hospital/entity committees task forces interdisciplinary forums and projects (e.g. serious safety event reviews and performance improvement teams) at the request of Nurse Leaders. Attends departmental meetings and contributes to the achievement of Magnet Recognition or Pathways to Excellence program. Promotes a public image of professional nursing excellence and represents the hospital in community outreach efforts as appropriate. Maintains knowledge of current trends and developments in the fields of nursing and health care through a variety of professional activities including but not limited to reading the appropriate literature attending related seminars and conferences and maintaining membership in professional nursing associations. Demonstrates accountability for own professional development and advancement. Maintains clinical knowledge and skills and engages in the provision of direct care for a caseload of patients as required. Minimal Qualifications Education Bachelor's degree in Nursing required Master's degree in Nursing or health related field preferred Must be from a nationally accredited program Experience 3-4 years of progressive nursing care experience required Leadership and management experience preferred Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia required CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required Additional unit/specialty certifications may vary by department or business unit. Knowledge Skills and Abilities Excellent problem-solving skills and ability to exercise independent judgment on complex situations. Verbal and written communication skills. Basic knowledge of various computer software applications and online learning applications especially Microsoft PowerPoint and Excel. This position has a hiring range of : USD $93,288.00 - USD $222,976.00 /Yr. 
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