jobs in Capitol Heights, MD

Nursing Jobs in Capitol Heights, MD

Registered Nurse (Non-Practicing) (Bethesda, MD)

Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its contract with the Integrated Referral Management and Appointing Center (IRMAC), the National Capital Regions’ premier coordinating authority for appointing and referral management services for beneficiaries in the Defense Health Network. Registered Nurse will have overall responsibility for timely review of Right of First Refusal (ROFR) requests, review of Specialty Care Referrals, sustaining up-to-date Specialty Clinic Referral Review tools and booking guidance, complying with Referral and Authorization Business rules, tracking, and resulting of referrals, and full use of Referral Management (RM) information management systems. Will conduct reviews for capacity, capability, medical necessary, deferral to network, and right of first refusal activities. This is an onsite employment opportunity. Duties and Responsibilities Review all details of referral for suitability, administrative and clinical completeness, and required tests and pre-work for disposition per IRMAC guidelines. Stay abreast of facilities’ services, medical treatment capabilities and capacity for Product Lines/Specialties assigned. Proactively collaborates with Managed Care Support Contract (MCSC), Product Line Leaders, RM, Appointing Center(s), other members of the healthcare team and MTF points of contact to address any process issues or concerns. Review referrals within the established guidelines from a market approach utilizing MHS-GENESIS, MCSC Portal and other EHR's or databases when needed. Develop, maintain and update referral review tools as needed. Understand the deferral process (when to defer for distance, capacity, capability, second opinion, command directed, continuity of care) and utilize deferral codes appropriately. Elevate patients’ concerns, more complex clinical cases to Team Lead, Product Line leadership, or Referral Management (RM) leadership as appropriate. Receive and initiate telephone calls and computer/written correspondence regarding specialty clinic appointments and referrals. Routinely monitor and process referral management MHS-GENESIS queues to ensure consults are being processed within the established guidelines. Advise patients of their referral status to include providing references for benefit counseling assistance and/or patient advocacy. Approval authority for all active duty and reserve/guard referrals under the supplemental health care program. Coordinate with Medical Director, Product Line leaders, and/or RM leadership for all active, reserve and guard referrals not covered under the TRICARE benefit for approval. Review and maintain ROFR referrals into MHS-GENESIS and database within the established guidelines for proper processing in attempts to recapture workload from the network to the MTF. Establish and maintain good interpersonal relationships with co-workers, families, peers, and other health team members. Identify, analyze, and make recommendations to resolve problems and situations regarding referrals. Manage and utilize multiple complex computer systems for appointment scheduling. Assists Medicare beneficiaries in coordinating their medical care within the Direct Care System. Performs additional duties that support the referral management process and the RM Team. Qualified candidate must be a Licensed Registered Nurse (RN), with an unencumbered active RN license from a State Board of Nursing and graduated from an accredited nursing program. Must have three (3) years of clinical nursing experience. Referral Management (RM) and Utilization Management (UM) experience is preferred. Full-time employment in a nursing field within the last 24 months is mandatory. Additionally, the qualified candidate must: Be a U.S. Citizen. Have knowledge, skills, and computer literacy to interpret and apply medical care criteria, such as InterQual, Milliman Ambulatory Care Guidelines, Specialty Referral Guidelines (SRGs) or other evidence-based guidelines identified by the MHS. Be proficient in the usage and understanding medical terminology, MHS, VA-DOD Sharing Program, TRICARE, HIPAA, release of medical information. Demonstrates ability to manage a high-performing and efficient team. Possess excellent oral and written communication skills, interpersonal skills, superior customer service, leadership, and organizational skills. Have excellent oral and written communication skills, interpersonal skills, superior customer service, leadership, and organizational skills. Have a working knowledge of computers, specifically the Internet, Microsoft Word, Microsoft PowerPoint, Microsoft Access, Microsoft Excel, and Windows. Ivyhill has a competitive benefits program which includes medical, dental and vision; Life and AD&D insurance; Short- and Long-Term Disability; supplemental Life insurance and a 401(k) Plan.

Nurse Extern PRN Intermediate Care Unit

Trident Health System Reston, VA

Hourly Wage Estimate: 19.29 - 26.04 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. Do you have the PRN career opportunities as a(an) Nurse Extern PRN Intermediate Care Unit you want with your current employer? We have an exciting opportunity for you to join Reston Hospital Center which is part of the nations leading provider of healthcare services, HCA Healthcare. Job Summary and Qualifications As a Nurse Extern, you’ll be a valued part of the nursing team, gaining hands-on experience as you explore the full scope of the Registered Nurse role. You’ll help deliver safe, compassionate care that improves patients’ lives while building the skills and confidence to take on more advanced responsibilities as you progress through your nursing program. Your responsibilities will include: Providing essential care for patients by helping with ADLs (Activities of Daily Living), checking vital signs, supporting mobility, and ensuring comfort and hygiene Performing nursing tasks like wound care, catheter care, collecting specimens, and other basic procedures as you gain experience and grow in your competency Documenting care accurately and communicating timely updates with the nursing team to keep patient care seamless and coordinated Helping patients and families understand their care plans and offering guidance for their health and recovery Keeping patient areas clean and safe by following infection prevention practices, managing equipment, and maintaining an organized environment Championing your growth and enhancing patient care by engaging in learning opportunities, sharing ideas to improve care, and partnering with your supervisor or preceptor to build your personal career development plan What qualifications you will need: Basic Cardiac Life Support must be obtained within 30 days of employment start date Must be currently enrolled in and RN Program Benefits Reston Hospital Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include some or all of the following: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location and position. Reston Hospital Center has provided quality healthcare services since 1986. We give patients access to trained physicians and advanced technology. Our 230+ bed hospital is one of the regions leading acute care facilities in Reston and the growing Northern Virginia region. We offer a full range of medical services, including 24-hour emergency care. Our hospital specializes in maternal/child health, surgical services on both an inpatient and extensive outpatient basis. We offer urological services including lithotripsy. Our cancer care offers state-of-the-art radiation therapy, rehabilitation therapy programs and a wide array of diagnostic imaging capabilities. Reston Hospital Center is a certified Stroke Center, certified Total Joint Center and the only accredited Chest Pain Center in Northern Virginia. We are the only Hospital in Northern Virginia to receive Joint Commission designation as a Top Performer on Key Quality measures for multiple consecutive years. At Reston Hospital Center, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Nurse Extern PRN Intermediate Care Unit opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status