Nursing Jobs in Stonefield, VA
$76,398.40 - $122,241.60 / year
Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management process. They collaborate with physicians and other members of the healthcare team to promote and adhere to regulatory compliance. The UM RN conducts initial concurrent and retrospective medical necessity reviews. All Utilization Management activities are performed in accordance with the mission vision and values of UVA Medical Center. Analyze and evaluate complex medical documentation: Demonstrates competence in interpretation of clinical data, and the application of UM tools. Collaborates with physicians and care team: Attending, resident, mid level practitioners. Utilizes judgement and critical thinking in determining what cases to refer for second level review to external physician consultants and internal UVA UR MD’s. Provides complete accurate and timely clinical data to Insurance companies. Utilizes judgement and critical thinking to determine if denied cases will be appealed utilizing medical, contract and payor rules. Conducts appeals with external entities and Consultants. Manages appealed cases including external review and resolution for Billing. Actively supports the financial mission of the department. Practices according to department standards. Assumes responsibility for professional development of self and contributes to and assists with the professional development of others. Demonstrates leadership in the UM role. In addition to the above job responsibilities, other duties may be assigned. MINIMUM REQUIREMENTS Education: Bachelor of Science in Nursing from accredited nursing program. Experience: 2 years acute care hospital experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia required. PHYSICAL DEMANDS Job requires sitting for prolonged periods. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly. The pay range for this role is $76,398.40 - $122,241.60 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education. Benefits Comprehensive Benefits Package: Medical, Dental, and Vision Insurance Paid Time Off, Long-term and Short-term Disability, Retirement Savings Health Saving Plans, and Flexible Spending Accounts Certification and education support Generous Paid Time Off UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond. The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment . $100,630.40 - $133,120 / year
A transformational leader responsible for supporting the nurse manager in administrative duties of the unit, especially during off shifts. The Assistant Nurse Manager will provide leadership by collaborating with members of the health care team to maintain standards for professional nursing practice in the clinical setting. Participates in organizational and unit based quality improvement activities, and provide input on standards of care. Must provide patient care on an as needed basis and maintain clinical competencies with the potential for weekly patient care shift assignments. Supervises care provided by maintaining high visibility to patients/families and staff in the clinical area(s). Share accountability with manager for unit/department/organizational goals achievement including patient experience, team member engagement and continuous process improvement. Staff management to include recruitment, retention, coaching, training, evaluation and development, as well as preparation and delegation of work schedules and workflow. Under supervision from manager, participates in basic human resource functions. Provides managerial support as required. Develops implements and participates in Quality Improvement Processes activities. Works with members of the health care team in activities designed to improve patient care outcomes. Provides leadership and serves as a resource in the provision of patient care and unit activities. Assists staff in development of problem solving and decision-making skills. Maintains all records pertaining to the staff competency and quality audits and other related records. Serves as a professional role model, coach, and resource for employees. Participates actively in Nursing and/or hospital committees and work groups and assists in the development and implementation of the units shared governance model. Assumes responsibility for own professional growth. In addition to the above job responsibilities, other duties may be assigned. MINIMUM REQUIREMENTS Education: Graduate of accredited nursing program, Bachelor of Science in Nursing required within 5 years of hire. Experience: At least two years’ experience as a registered nurse Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia required. American Heart Association (AHA) Health Care Provider BLS certification required. PHYSICAL DEMANDS Job requires standing for prolonged periods, frequently bending/stooping/traveling, climbing (ladder, steps) and driving. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull > 100lbs. May be exposed to fumes, chemicals, vibrations, humidity, cold, heat, noise, outdoor climate, blood/body fluids and infectious disease. The pay range for this role is $100,630.40 - $133,120.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education. Benefits Comprehensive Benefits Package: Medical, Dental, and Vision Insurance Paid Time Off, Long-term and Short-term Disability, Retirement Savings Health Saving Plans, and Flexible Spending Accounts Certification and education support Generous Paid Time Off UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond. The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment . 
