Nursing Jobs in Navy Yard, DC
$89,065 - $162,801 / year
About this Job: General Summary of Position This position will be responsible for the Annual and periodically required Comprehensive Clinical Assessment as cited in section C.3.27.2 of the Department of Health Care Finance awarded contract. The Field RN Case Manager will be responsible for the District of Columbia Region. This position is responsible for up to 85% travel to our MedStar Family Choice District of Columbia Enrollees. The Field RN Case Manager serves as the central point of contact for MedStar Family Choice D.C. Case Management and conducts activities and functions required for this role. The Field RN Manager will be responsible for the referral of MedStar Family Choice Enrollees to other MedStar Family Choice programs as needed i.e. Maternal Health Behavioral Health Food Insecurity relief and Non-Medical Transportation. They are also responsible for the report of Enrollees requiring assistance with Medicare and/or Medicaid beneficiary support Medicaid for Nursing Home Placement Crime Victims Vocational Rehabilitation and any/all other third-party coverage including other available local state and federal programs. Primary Duties and Responsibilities Integrates physical health behavioral health social environmental into a single person-centered seamless system of care. Promotes person-centered approach to service and care planning that honors each Member's priorities goals needs and preferences. Encourages Enrollee engagement in the person-centered service planning process and the use of person-centered planning teams with expertise in community integration behavioral health and health and wellness. Leverages providers community partners and local community resources to ensure comprehensive coordinated and culturally appropriate care for each member. Provides service and support to maintain members in the least restrictive and most appropriate setting as possible. Leverages the use of evidence-based practice guidelines clinical pathways technology solutions and clinical decision support tools. Provides Case Management for designated member population to include support for self-direction nursing home transition transition of care and Utilization Management (UM) activities. Completes field-based member assessments and identifies activities and interventions based on the member needs of this continuum aligning the level of engagement and interventions with identified member needs. Oversees daily weekly and monthly functions of Field Case Manager coordinating member assessments and establishing priorities as needed. This includes the duties clinical analysis documentation and follow up for member clinical reviews and other similar duties to effectively manage the MedStar Family Choice D.C. case managed member population. Prepares and provides reports to manager(s) on work in progress and address any backlogs for resolution. Responsible for informing members about annual required assessments in-person centered service planning processes service alternatives service delivery options e.g. opportunities for self -direction roles rights including MedStar Family Choice D.C Fair Hearing rights risks and responsibilities. Assists with fair hearing requests when needed and requested and to protect the members' health welfare and quality on an ongoing basis. Collects the necessary information including at a minimum: member preferences strengths and goals to inform the development of the person-centered needs and the reevaluation of level of care annually or more frequently as needed. Assists member with person-centered care plans. Works with members to complete activities necessary to maintain MedStar Family Choice D.C. eligibility. Explores coverage of services to address identified member needs through other sources including services provided under medical assistance Medicare or private insurance and other community resources. Actively coordinates with other individuals and entities in the care delivery of member services for physical behavioral and support service needs. MedStar Family Choice DC policies procedures training quality oversight and monitoring for staff and contracted field case managers will ensure consistency in the execution and delivery of our MFC Model of Care. Minimal Qualifications Education Bachelor's degree in Nursing required Experience 1-2 years At least 1 year working in social service or health care related setting required and 1-2 years Experience working with people with Developmental Disabilities HIV Behavioral Health and/or other related vulnerable populations required Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure RN - Registered Nurse - State Licensure and/or Compact State Licensure Upon Hire required Knowledge Skills and Abilities Knowledge of the home and community-based service system and how to access and arrange for services Ability to conduct field-based member assessments up to 85% of the time Experience conducting Department of Health Care Finance needs assessments Cultural competency and the ability to provide informed advocacy Ability to interact with physicians and other health care professionals in a professional manner is required Experience with section C.3.27.2 of the Department of Health Care Finance awarded contract This position has a hiring range of : USD $89,065.00 - USD $162,801.00 /Yr. $89,065 - $162,801 / year
About this Job: General Summary of Position Collaborates with providers nursing leaders departmental staff and hospital leadership to support quality patient safety performance improvement and regulatory compliance. Collects analyzes and reports clinical and operational data; facilitates performance improvement initiatives. Primary Duties and Responsibilities Data Management Analysis and Reporting: Collects validates analyzes and reports clinical and quality data to support performance improvement and regulatory. Ensures data accuracy integrity confidentiality and timely reporting. Performs data analyses to identify trends measure performance and support improvement initiatives. Regulatory and Accreditation Support: Performs and coordinates data abstraction submission and reporting requirements for regulatory and accreditation programs including Joint Commission Centers for Medicare and Medicaid (CMS) state agencies and other quality reporting initiatives. Monitors compliance with established performance metrics and reporting timelines. Quality and Patient Safety Monitoring: Conducts medical record reviews audits and tracers to identify trends and recommend opportunities for improvement. Performance Improvement: Coordinates and collaborates with interdisciplinary teams to support performance improvement initiatives utilizing quality improvement methodologies to identify opportunities implement interventions and evaluate outcomes. Professional Development and Compliance: Maintains current knowledge of healthcare quality patient safety regulatory requirements and performance improvement practices. Participates in continuing education and complies with all organizational policies accreditation standards and regulatory requirements. Education and Consultation: Serves as a resource to clinical and operational departments regarding quality measures documentation standards regulatory requirements data interpretation and performance improvement methodologies. Minimal Qualifications Education Bachelor's degree in Nursing, Healthcare, Business Administration or related field required. Experience Minimum 3 years of experience in data collection analysis and reporting in healthcare required Licenses and Certifications Current Maryland Registered Nurse License or Compact State Registered Nurse License required Knowledge Skills and Abilities Knowledge of quality improvement methodologies regulatory and accreditation standards and healthcare performance metrics. Proficiency in Microsoft Word and Excel for data entry reporting and analysis. Ability to effectively communicate with all levels of internal and external customers Knowledge of healthcare confidentiality and HIPAA requirements. This position has a hiring range of : USD $89,065.00 - USD $162,801.00 /Yr. 
$75,108.80 - $133,099.20 / year
***Up to $25,000.00 Sign-on Bonus*** All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children's National Policies and Procedures, and in accordance with all applicable laws and regulations. The professional Model of Care require registered professional nurses to be responsible and accountable for their own practice. Children's National support the development of RN relationships with the community; specifically, those relationships associated with the health and well-being of the community at large. A RN is an independent practitioner who functions as an identified resource to staff in a patient care area. H/She will provide comprehensive patient care to a variety of patients. Incorporate all members of the health care team in the planning and delivery of patient care. Will deal successfully with complex clinical problems. Conduct quick assessment of patients and handle emergency situations appropriately . Demonstrate evidence based practice through participation in unit projects and activities. Minimum Education Minimum Work Experience BSN Graduated from an approved school of nursing (Preferred) 2 years P ACU experience required or related clinical nursing experience in a comparable setting such as critical care or Peds ED. (Required) Required Skills/Knowledge The licensed Registered Nurse will successfully complete the hospital and nursing orientation at Children’s National. Must have strong skills of airway management and knowledge of anesthetic agents. Excel in organizational skills, adjust for changes and be able to complete assignment on time. Role model critical thinking skills by problem-solving patient care and unit/system issues. Demonstrate a collegial and respectful relationship with peers, physicians and other departments. Care will incorporate best practices based on benchmarks and evidence within the literature. Required Licenses And Certifications Registered Nurse in District of Columbia (Required)Cardio-Pulmonary Resuscitation (CPR) (Required) Pediatric Advanced Life Support (PALS) (Required) Certified Pediatric Nurse (CPN) (Preferred) And Certified Post Anesthesia Nurse (CPAN) (Preferred) Functional Accountabilities Post-Anesthesia Clinical Care Activities Evaluate and manage patient's airway postoperatively including breakthrough laryngospasms; apply knowledge of the physiological changes to the airway postoperatively as a consequence of anesthesia and surgery . Perform manual intermittent positive pressure ventilation (IPPV). Be aware of the risk factors that contribute to the condition and make decisions when caring for patients and families. Monitor cardiopulmonary function, airway patency, and oxygen saturation. Provide prompt care to minimize the incidence of emergence delirium; maintain safety environment while patient experiencing emergence delirium. Evaluate and treat post-operative pain in a timely manner with appropriate intervention. Manage epidural administration of local anesthetics and opioids. Manage patients with central neuraxial and peripheral nerve blocks. Monitor complications associated with administration of analgesics and act promptly to minimize adverse incidents. Transformational Leadership Contribute to Magnet re-designation as evidenced by independent involvement or leadership in: committees, task force and/or community outreach. Communication reflects development of plan of care and ability to advocate to meet patients’ needs; make suggestions for resolution of system issues. Role model procedures for escalation of issues and utilize chain of command. Demonstrate proper use of identified hand off processes; follow up on inconsistent practice related to handoff. Take the lead in implementing change and support management decisions. Role model behavior reflecting empathy, concern and a desire to help others. Structural Empowerment Independently maintain regulatory requirements e.g. license, BLS. Initiate professional activities to enhance nursing practice. Engage in active review of peers giving constructive feedback through timely participation in evaluations. Role model adherence to national safety standards and service excellence standards; champion advancement of education and certification. Orchestrate involvement of the healthcare team and role model professional behavior and teamwork with co-workers. Serve as a resource as needed and know when to escalate to next level Exemplary Professional Practice Analyze assessment data gathered from patient and family to ensure completion of database and plan of care within identified timeframes. Role model excellent clinical skills with complex patients; care will reflect analysis of patient status and appropriate interventions. Direct prioritization and organization for complex patient with rapidly changing needs. Documentation will exemplify adherence to the highest standards of practice. Anticipate and proactively plan for educational needs verify with patient and family throughout the hospital/outpatient stay and prior to discharge. Role Model care in all encounters with patient and family as evidenced by feedback from parents and an increase in patient satisfaction scores. Safety Speak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance Organizational Accountabilities Professional Growth Initiate ways to improve operations through quality improvement and implement related solutions. Identify self-learning needs and take initiative to meet those needs. Serve as a resource for current, new information or changes in specialty area. Organizational Commitment/Identification Partner in the mission and upholds the core principles of the organization Committed to diversity and recognizes value of cultural ethnic differences Demonstrate personal and professional integrity Maintain confidentiality at all times Customer Service Anticipate and responds to customer needs; follows up until needs are met Teamwork/Communication Demonstrate collaborative and respectful behavior Partner with all team members to achieve goals Receptive to others’ ideas and opinions Performance Improvement/Problem-solving Contribute to a positive work environment Demonstrate flexibility and willingness to change Identify opportunities to improve clinical and administrative processes Make appropriate decisions, using sound judgment Cost Management/Financial Responsibility Use resources efficiently Search for less costly ways of doing things Primary Location District of Columbia-Washington Work Locations CN Hospital (Main Campus) Job Nursing Organization Surgery COE Position Status R (Regular) Shift Night Work Schedule 7p-7a, occasional wknd on-call Job Posting May 6, 2026, 8:47:33 PM Full-Time Salary Range 75108.8 
