Nursing Jobs in Dale City, VA
$60,200 - $107,400 / year
$5,000 Sign-on Bonus for External Candidates Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum Care at Home team, together with an interdisciplinary care team we help patients navigate the health care system and connect them to key support services. This preventive care can help patients stay well at home. This life-changing work adds a layer of support to improve access to care. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. The Optum Care at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member's Primary Care Provider and other providers, and other professionals. This position is open to candidates who live in DC, MD, or VA This is a field-based position in the greater Washington D.C. area. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Standard Hours: Monday - Friday normal daytime business hours (no on-call, no weekends and no holidays required). Primary Responsibilities: Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care Document the plan of care in appropriate EHR systems and enter data per specified Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care Provide ongoing support for advanced care planning Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals Understand and operate effectively/efficiently within legal/regulatory requirements Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standard) Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide member education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted Registered Nurse license in Washington D.C., or the ability to obtain within 90 days of hire date Certified in Basic Life Support 2+ years of experience working with MS Word, Excel and Outlook 1+ years of experience in post - acute care, such as long-term care 1+ years of experience with using an Electronic Medical Records Valid Driver's License and access to reliable transportation Ability to work in a field-based capacity in Washington, D.C. Reside within 50 miles of Washington, DC Preferred Qualifications: Certified Case Management (CCM) 1+ years of Clinical Case Management experience 1+ years of experience working with the geriatric population 1+ years of LTSS (Long Term Services and Supports) 1+ years of HCBS (Home and Community Based Services) experience Field based experience going into members' homes Experience creating care plans Background in managing populations with complex medical or behavioral needs Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Join our wonderful team as a Registered Nurse (RN) today! Autumn Lake Healthcare at Bradford Oaks is an exceptional team-oriented company hiring for Registered Nurse (RN) ! We provide our staff with the resources, tools, and training needed to succeed and grow in their current and desired future positions. We pride ourselves on our caring and compassionate management team who are there to fully support our staff and residents. Benefits for Registered Nurse (RN): Referral Bonuses! Competitive Rates! Wonderful Environment! Great Benefit package! Now offering same day pay! NOW HIRING : Part-Time Registered Nurse (RN) Qualifications & Experience Requirements for Registered Nurse (RN) : Previous Experience as a Registered Nurse (RN) preferred Licensed Registered Nurse 1 year of LTC experience HP $115,000 - $190,000 / year
About this Job: MedStar Medical Group offers a rewarding career caring for a unique and complex patient population in the heart of Washington, D.C. Join an organization that values your clinical expertise, perspective, and leadership while providing opportunities to grow within a collaborative, academic environment. We are seeking an Acute Care Nurse Practitioner (ACNP) or Physician Associate (PA) to join the Inpatient Abdominal Transplant Surgery team at MedStar Georgetown University Hospital . About MedStar Georgetown Transplant Institute The MedStar Georgetown Transplant Institute is a nationally recognized leader in abdominal organ transplantation and provides life-restoring care to patients with end-stage organ failure. The program is one of the largest liver transplant centers in the nation, performing more than 100 liver transplants each year and providing patients with timely access to transplantation. Across its history, the Institute has performed more than 7,500 liver, kidney, small bowel, colon, stomach, and multi-organ transplants. The program also provides advanced hepatobiliary surgical care and offers autologous islet cell transplantation for patients suffering from chronic pancreatitis. Why Join Transplant at Georgetown? As part of our inpatient transplant surgery team, you will work alongside a highly specialized, multidisciplinary group caring for some of the region’s most complex surgical patients. Our APP program provides opportunities to grow clinically and professionally through: Advanced Practice Council with opportunities for leadership, education, clinical practice groups, mentoring, and community service Clinical research and quality improvement initiatives Specialized multidisciplinary approach to patient care Evidence-based protocols supporting safe, high-quality care Dedicated ICU and Intermediate Care (IMC) levels of care for transplant patients within the New Verstandig Pavilion Opportunities to develop expertise in a nationally recognized transplant program About the Position This is a dedicated night-shift, inpatient-only provider role supporting the Abdominal Transplant Surgery service. 13-hour night shifts 12 shifts every 4 weeks Includes weekends and select holidays Dedicated night provider — no scheduled daytime shifts Inpatient-only No operating room responsibilities Night differential included in compensation This role is an excellent opportunity for an APP who enjoys complex inpatient care, collaborative decision-making, and working within a highly specialized surgical environment. Qualifications Master’s or doctoral degree from an accredited Physician Assistant or Nurse Practitioner program Current board certification as a Physician Assistant or Nurse Practitioner Current or eligible for District of Columbia PA or NP licensure Previous clinical experience preferred Strong clinical judgment and communication skills Ability to work independently while collaborating effectively within a multidisciplinary team Benefits As a MedStar Medical Group clinician, you can expect: Competitive salary with night differential Medical, dental, and vision insurance Paid malpractice insurance Generous paid time off CME leave and CME allowance 403(b) retirement plan with employer match Opportunities for professional development within MedStar Health #LI-MP1 #PL This position has a hiring range of : USD $115,000.00 - USD $190,000.00 /Hr. 
$89,065 - $162,801 / year
About this Job: Candidate must have acute care Utilization Review experience. Candidate must live in the DC/Baltimore region General Summary of Position Supervises the daily activities of the Utilization Review Team. Manages daily assignment ensuring all UM tasks are completed each day. Collaborates with the physician nurse case manager social worker and other members of the health care team to meet individualized patient outcomes. Assists the Director in managing the daily departmental operations with the goal of maintaining adequate staffing levels and efficient workflow. Acts as a resource and mentor to the Utilization Review staff. Primary Duties and Responsibilities Supervises daily activities of UM team. Monitors and arranges for adequate staffing to ensure appropriate Utilization Review coverage for units. Monitors daily workflow issues and addresses issues related to workflow in collaboration with the director as necessary. Acts as a resource and mentor for UM Team. Oversees the orientation of new UR Coordinators by establishing the plan and monitoring progress in conjunction with other staff as necessary Serves as a resource to all staff in areas of utilization review/management. Educates members of health care team through in-services staff meetings orientation and formal educational offerings. Completes continuing education to maintain knowledge base. Collaborates with and assists the nurse case manager and social worker to meet the patients' continuing health needs in a high-quality cost-effective manner by identifying patients in need of case management. Participates in planning rounds as needed to address and communicate issues related to acuity level of patient LOS insurance and discharge needs. Collects quality improvement data in accordance with approved indicators. Monitors and audits staff UM reviews for completeness and compliance with standards. Recognizes potential problems and provides education to staff. Utilizes research methods to collect tabulate and analyze data in collaboration with the case management team medical staff and hospital performance improvement initiatives. Assists CM Leadership in implementing strategies to correct or modify trends seen through data analysis and outcome monitoring. Confers and collaborates routinely with the physician advisor and attending physicians to resolve problems regarding acuity and level of care. Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations. Identifies insurance information obtains authorization communicates with financial counseling and assigns appropriate length of stay for admission. Implements strategies to avoid denials including potential denial notification to attending physician. Issues letter of non-coverage for Medicare or third-party payers according to policies and procedures. Communicates utilization plans to case management team. Evaluates concurrent and retrospective denials for appeal opportunities. Generates appeal letters based on knowledge of clinical severity and intensity. Manages the department in the Director's absence. Keeps Director informed about issues related to staffing and problem areas. Keeps Director informed about issues related to quality risk patient/family issues and concerns allocation of resources and vendor/payer issues. Assists the Director in monitoring performance issues. Contributes to the performance evaluation process by giving feedback to the Director and helping create professional development plans for UR Coordinators. Participates in multidisciplinary quality and service improvement teams. Performs admission reviews and subsequent concurrent reviews to determine the necessity for acute care by application of accepted criteria based on age specific needs. Interacts with and assists third party payer reviewers to facilitate appropriate care and ensure payment of services. Performs concurrent and retrospective reviews telephonically as required. Completes all forms and documentation necessary to support appropriate utilization of resources. Minimal Qualifications Education Bachelor's degree in Nursing required Experience 3-4 years clinical experience in acute care setting required 2 years Case Management or Utilization Management experience preferred 1-2 years leadership experience preferred Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure the District of Columbia or State of Maryland depending on work location required CCM - Certified Case Manager preferred This position has a hiring range of : USD $89,065.00 - USD $162,801.00 /Yr. 
