jobs in Olney, MD

Nursing Jobs in Olney, MD

Registered Nurse (RN) Case Manager 3

Job Description Inova Fairfax Hospital is looking for a dedicated experienced Registered Nurse Case Manager 3 to join the Case Management team. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions – starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave The RN Case Manager 3 develops, implements and evaluates patient care plans and progression throughout the continuum of care or disease state. Works collaboratively in communication with physicians, nurses and other members of the multidisciplinary care team to effect timely and appropriate patient management. Provides discharge planning and continuity of care for assigned patients in acute and post-acute settings. Provides coordination of services and acts as key liaison between patients, families and interdisciplinary healthcare members. Uses clinical expertise and utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities. Responsible for the timely regulatory compliance and facilitation of precertification and payer authorization processes when indicated. Actively participates in clinical performance improvement activities. Job Responsibilities Develops, implements and evaluates patient care plans and progression throughout the continuum of care or disease state. Provides discharge planning and continuity of care for assigned patients in the acute and post-acute setting. Initiates and facilitates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated. Collaborates with the interdisciplinary healthcare team, patients and families in the assessment and coordination of discharge planning needs, delivery of post-discharge planning needs, delivery of post-discharge services and transition of patients from hospitals to the discharge setting as well as ongoing care in the community. Documents relevant discharge planning information in medical records according to department standards and/or care management plans. Collects delay and other data for specific performance and/or outcome indicators. Assists in the collection and reporting of resource and financial indicators including acute and post-acute case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. Collects, analyzes and addresses variances from plans of care and care paths with physicians and/or other members of the healthcare team. Uses concurrent variance data to drive practice changes and positively impact outcomes. Documents key clinical path variances and outcomes which relate to areas of direct responsibility (e.g. discharge planning, chronic disease planning). Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently. Uses clinical expertise and utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities. Ensures safe care to patients by adhering to policies, procedures and standards within budgetary specifications including time management, supply management, productivity and accuracy of practice. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency. Supports department based goals which contribute to the success of the organization. Works collaboratively in communication with physicians, nurses and other members of the multidisciplinary care team to effect timely and appropriate patient management. Collaborates/communicates with internal and external case managers. Understands pre-acute and post-acute resources. Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare team members. Work closely with members of patients' healthcare teams to manage and coordinate all areas of patients' care. Works holistically to ensure that healthcare plans and discharge plans meet the physical, social and emotional needs of patients. Provides educational resources and/or referrals to patients and patients' families to address identified needs such as social or financial. Acts as an advocate for patients to resolve barriers to care progression. Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities. Communicates with payers or required parties to ensure reimbursement certification for assigned patients. Discusses payer criteria and issues on a case by case basis with clinical staff and follows-up to resolve problems with payers as needed. Applies approved clinical criteria to monitor appropriateness of admissions, continued stays or post-acute setting appropriateness and documents findings based on department standards. Identifies at risk populations by using approved screening tools and following established reporting procedures. Monitors LOS and ancillary resource use, depending on inpatient stay or outpatient program criteria, on an ongoing basis and takes actions to achieve continuous improvement efficiencies in both areas. Refers cases and issues appropriately to resolve barriers to care progression. Participates in the assessment of patients' clinical and psychosocial needs through review of patient information, personal contact with patients/families and interdisciplinary healthcare team members. Communicates routinely with patients, families, interdisciplinary healthcare team members and other appropriate parties with regard to the status of patients' care plans and progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary. Works with the multidisciplinary team to address/resolve system problems impeding diagnostic or treatment progress. Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge. Ensures that all elements critical to patients' care plans have been communicated to the patients/families and members of the healthcare team. Performs other duties as assigned. Minimum Qualifications Certification: Basic Life Support; Accredited Case Manager or CCM or MCG Licensure: Licensed or eligible for licensure in the Commonwealth of Virginia as a Registered Nurse Experience: 4 years of case management and/or clinical care experience Education: Bachelors Degree in Nursing About Us We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare. Inova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

Full-time

6 days ago

RN

Right at Home Montgomery County West North Bethesda, MD

Pay and Benefits: We believe that our Registered Nurses (RN) are the heart of our business. Without you, we couldn’t build meaningful relationships with our clients, put a smile on their face or be the highlight of their day. It is hard to put a price on helping others but we know how important you are and value the impact you would make day in and day out for our clients. In taking this position, you would receive: Competitive pay Pay may vary by location, level of training and type of shift Flexible schedules (Shifts can be arranged to fit your schedule) Medical benefits, including vision and dental (Medical benefits availability is determined by individual franchises) 401 (k) retirement plan Weekly pay Mobile clock in/out Work close to home (Serve seniors in your own community) Ongoing PAID training and development Your local office may offer you a variety of initial and ongoing career training opportunities to help you grow your skills. This could include but not limited to: A "library" of senior care reference materials and resources in the office and online On-the-job training for unique client situations Make a difference, develop meaningful relationships and meet new people Give back to those who need you most (our clients need you now more than ever before!) Paid travel time in between clients and paid mileage Extremely positive work environment Employee discount programs Access to leadership Recognition, celebrations and great team interactions! In this role, we stand prepared to equip you with the right personal protective equipment (PPE) and are ready to assist as you care for our vulnerable population of seniors and adults with disabilities. What You’ll Do and Who You Are: You’re the honest, likable, and approachable type. You are able communicate easily with people at all levels both verbally and in a written state. You have great analysis skills as you can observe and report any signs or symptoms indicative of changes in condition of the client. You listen well, have great decision making skills and are passionate about your customer focus. You provide “best in class” care management to clients and you always strive for excellence. You’re never short of a smile and take real pride in your work by being accountable, assertive and act as a role model for new caregivers through coaching and training. Must Haves: Registered Nurse (RN) with current licensure to practice professional nursing in the state 2 years of nursing experience (home health/hospice preferred) Registered Nurse (RN) must possess and maintain current CPR certification Registered Nurse (RN) must be knowledge and have the ability, and the necessary skill and judgment to perform all nursing procedures under the direction of a physician as outlined in the scope of practice in the State’s Nurse Practice Act Meets the requirements for employees providing direct client care Must have a valid driver’s license and use of an insured automobile for work or access to adequate transportation Available for work on weekends and holidays as required Registered Nurses (RN) must be able to read, write, speak and understand English as needed on the job Participate in in-service education programs as mandated by State law (this requirement need not be met exclusively through Right at Home sponsored in-services programs) WORKING ENVIRONMENT Primarily works in client’s place of residence; travel may be required. Shift times and days vary with client needs. Why Right at Home? We truly believe that where you work matters, and as a company that believes in improving the lives of those we serve, we think we know a thing or two about what makes our employees happy. Here is what our employees say about us: “It’s wonderful to work for a company that treats their employees with the same care and respect they want us to provide to clients.” - Linda “I know I’m never alone! If I have a question or an issue, there is always someone available to help me. This means the world to me!” - Dave If you need assistance with this application or hiring process to accommodate a disability, you may request an accommodation at any time by contacting us. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities. The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required of employees. Each Right at Home office and business is independently owned and operated under a franchise agreement with Right at Home, LLC. Right at Home, LLC is not the employer or joint employer of the employees of any of its franchised offices. For comments, questions or to learn more about Right at Home, please visit www.rightathome.net.