RN Case Manager (Discharge Planner) - Relocation Offered!
Registered nurse case manager job in Washington, DC
About this Job:
Serves as a member of the Case Management Team and applies RN clinical expertise and medical appropriateness to care coordination and discharge planning. Facilitates the delivery of quality cost effective patient-centered care from pre-admission through post-discharge timeframe. Ensures the care is designed to meet individualized patient outcomes. Monitors the care and services delivered to selected patient populations during the acute hospital stay promotes effective case management and utilization of resources and works to achieve optimal clinical and resource outcomes for the acute and post-hospital phases of care.
Primary Duties and Responsibilities
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.
Collaborates with the multidisciplinary health care team to develop and coordinate the plan of care.
Communicates with patient family and/or significant other health care team external case manager community resources and facility to address appropriate issues and patient/family goals.
Demonstrates the ability to develop a plan of care that addresses needs across the continuum; have an intervention for problems identified; develop long- and short-term goals with specific time frames for resolution; identify specific services to be provided in the care plan; include the family/care-giver in the plan of care; and show life planning contingencies such as power of attorney and/or advance directives.
Evaluates and documents the patient's response to the plan of care and achievement of outcomes. Makes recommendations for modifications to the plan of care as indicated. Adheres to all policies and procedures regarding documentation and confidentiality of information.
Maintains knowledge of regulatory agencies' requirements necessary criteria for admission to various care settings and Medicare's/Medicaid's reimbursement methods for different levels of care.
Manages a caseload of patients. Identifies essential resources needed to implement the plan of care.
Manages own professional growth in the area of managed care care management other health care financial trends clinical practice and research.
Manages patient care according to multidisciplinary plan of care and/or managed care contracts by directing decision making and identifying and managing barriers that impact on patient care outcomes.
Participates in Performance and Service Improvement teams. Assists in program evaluation through customer service surveys LOS data analysis charge/discharge data comparison to state averages and best practice/benchmark data.
Performs a comprehensive assessment in collaboration with interdisciplinary team to identify patient-specific problems and needs related to diagnosis treatment including psychosocial and financial concerns as well as medical.
Minimal Qualifications
Education
Associate's degree in Nursing (ADN) required
Bachelor's degree in Nursing (BSN) preferred
Experience
2-3 years of clinical experience required
1-2 years case management experience preferred
Licenses and Certifications
RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia or 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.
Auto-ApplyTravel Stepdown RN
Registered nurse case manager job in Washington, DC
“WHEN YOU WORK FOR US, WE WORK FOR YOU.”Travel Stepdown RN
Weekly Gross Pay: $2201.00 - $2401.00
Assignment length: 12 Weeks
Minimum years of relevant experience in healthcare: 2 years
Job type: Traveler
Shift: Night (3x12)
Certifications: ACLS/BCLS/BLS
Position Highlights
12-week travel contract
Competitive weekly pay package
Work with an experienced clinical and recruiting team
Quick start options available (inquire for details)
Titan Medical is looking for travelers to fill a Travel Stepdown position for a 13 week assignment in Washington, DC! Call Titan for additional details. **************
Benefits
Day-one medical, dental & vision insurance
Loyalty bonus after 2,080 hours
Life and short-term disability
401(k) with employer match
Referral bonus up to $1,500
24/7 recruiter support
Licensure and CEU reimbursement
Experienced clinical team available to support you throughout your assignment
Titan Medical App available on the Apple Store & Google Play
Why Travel with Titan Medical
Titan Medical provides access to thousands of travel nursing and allied health jobs nationwide. Your dedicated recruiter will help you:
Build a strong traveler profile by improving your résumé and showcasing your skills
Increase your chances of landing the assignment you want
Travel with a top healthcare staffing company in the industry
Ready to apply or want more information?
Call ************** to connect with Titan Medical today!
Travel Hospice RN
Registered nurse case manager job in Chantilly, VA
Company: Fusion Medical Staffing
Job Details
Fusion Medical Staffing is seeking a skilled Hospice RN for a 13-week travel assignment in Chantilly, Virginia. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
Required Qualifications:
One year of recent experience as an RN, including a minimum of six months in a hospice setting as an RN
Valid RN license in compliance with state regulations
BLS certification (AHA/ARC)
Preferred Qualifications:
Other certifications and licenses may be required for this position
Summary:
A Hospice Registered Nurse (RN) provides compassionate end-of-life care to patients in their homes or hospice settings, focusing on comfort, pain management, and emotional support. Hospice RNs assess patient needs, coordinate care plans, and educate families to ensure patients experience dignity and peace in their final stages. They collaborate with interdisciplinary teams to provide holistic care while upholding hospice philosophy and regulatory standards.
Essential Work Functions:
Assess patient needs and develop individualized hospice care plans in collaboration with physicians and care teams
Administer pain management interventions, medications, and treatments to ensure patient comfort
Educate and support families and caregivers, helping them understand symptom management and end-of-life care
Monitor changes in patient condition, adjusting interventions to maintain quality of life
Coordinate care with hospice physicians, social workers, chaplains, and other team members to provide holistic support
Document all care provided, symptom changes, and family interactions accurately and in compliance with hospice regulations
Ensure adherence to hospice best practices, safety protocols, and regulatory requirements
Offer emotional and psychological support to both patients and their loved ones during the end-of-life journey
Communicate regularly with the hospice care team to ensure continuous, compassionate care
Complete charting and documentation requirements while meeting visit and productivity goals
Adhere to infection control, safety, and healthcare regulations
Perform other duties as assigned within the scope of practice
Required Essential Skills:
Critical thinking, service excellence, and good interpersonal communication skills
The ability to read, write, and communicate in the English language
Ability to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skills
Physical Abilities - Must be able to remain in a stationary position, move about, move equipment (50-100lbs), push, pull, and bend
Interpersonal Skills - Must be able to work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalism
Technical/Motor Skills - Must have the ability to grasp, perform fine manipulation, push/pull, and move about when assisting with procedures and/or using department equipment
Mental Requirements - Must be able to cope with frequent contact with the general public and customers while meeting deadlines under pressure. Must be able to work under close supervision occasionally, as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detail
Sensory - Must possess visual acuity and ability to effectively communicate
Benefits Include:
Highly competitive pay for travel professionals
Comprehensive medical, dental, and vision insurance with first day coverage
Paid Time Off (PTO) after 1560 hours
Life and Short-term disability offered
401(k) matching
Aggressive Refer-a-friend Bonus Program
24/7 recruiter support
Reimbursement for licensure and CEUs
Why Choose Fusion?
At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you - that's why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we're here to guide and celebrate you along your journey. You take care of others; we take care of you.
Other Duties Disclaimer:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties, or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.
Start your rewarding career as a Travel Hospice RN with Fusion Medical Staffing and join our mission to improve lives. Apply now!
*Fusion is an EOE/E-Verify Employer #pb8
Travel Med Surg RN
Registered nurse case manager job in Bowie, MD
“WHEN YOU WORK FOR US, WE WORK FOR YOU.”Travel Med Surg RN
Weekly Gross Pay: $1801.00 - $2001.00
Assignment length: 13 Weeks
Minimum years of relevant experience in healthcare: 2 years
Job type: Traveler
Shift: Evening (3x12)
Certifications: BCLS/BLS
Position Highlights
13-week travel contract
Competitive weekly pay package
Work with an experienced clinical and recruiting team
Quick start options available (inquire for details)
Titan Medical is looking for travelers to fill a Travel Med Surg position for a 13 week assignment in Bowie, MD! Call Titan for additional details. **************
Benefits
Day-one medical, dental & vision insurance
Loyalty bonus after 2,080 hours
Life and short-term disability
401(k) with employer match
Referral bonus up to $1,500
24/7 recruiter support
Licensure and CEU reimbursement
Experienced clinical team available to support you throughout your assignment
Titan Medical App available on the Apple Store & Google Play
Why Travel with Titan Medical
Titan Medical provides access to thousands of travel nursing and allied health jobs nationwide. Your dedicated recruiter will help you:
Build a strong traveler profile by improving your résumé and showcasing your skills
Increase your chances of landing the assignment you want
Travel with a top healthcare staffing company in the industry
Ready to apply or want more information?
Call ************** to connect with Titan Medical today!
Benefits Case Manager
Registered nurse case manager job in Washington, DC
The SNAP Quality Management (QM) Case Manager is a critical technical role focused on ensuring the integrity and accuracy of the state's SNAP program. This individual will specifically support the Payment Error Rate Program by performing deep-dive reviews of case files to identify and correct eligibility and benefit determination errors before they impact the state's federal error rate.
Required Experience and Skills
Deep SNAP Expertise: Minimum of 3-5 years of direct experience in SNAP eligibility determination or Quality Control (QC).
Technical Audit Skills: Demonstrated ability to perform complex income calculations, verify household composition.
Proven ability to spot minute discrepancies in case documentation that could lead to federal error rate flags.
Core Capabilities
PERP Case Auditing: Conduct comprehensive technical reviews of a representative sample of active and negative SNAP cases to verify the accuracy of eligibility and benefit allotments.
Root Cause Analysis: Identify the underlying causes of payment errors, whether state-caused or client-caused, and categorize them for corrective action reporting.
Policy Interpretation: Apply complex federal regulations and state-specific policy manuals to ensure all case actions meet rigorous compliance standards.
Regulatory Reporting: Prepare detailed performance reports and documentation for evaluation reviews.
Electrophysiology Device RN - Relocation Offered!
Registered nurse case manager job in Washington, DC
About this Job:
Coordinates daily functions of the practice's EP device program by serving as a primary resource for pacemaker and defibrillator programming and tracking. Provides direct patient care and database administration to assure high-quality care and service to patients with implanted EP devices.
Primary Duties and Responsibilities
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.
Assists in the development and implementation of pre-and postoperative and discharge teaching for patients undergoing implantation of permanent pacemaker/ICD devices EP studies and radiofrequency ablations.
Coordinates EP Device Clinic with EP Physicians' Schedules and notifies management of potential scheduling conflicts.
Enrolls patients in the appropriate transtelephonic system by gathering and updating information from patient medical records and educating patients on the use of the system to ensure accurate and timely participation in the transtelephonic system.
Maintains a regulatory/compliance environment by following organizational policies and procedures to ensure compliance to state local and federal standards and regulations.
Performs and reports clinical analysis of device interrogations received through the transtelephonic systems by following established protocols to provide optimal clinical treatment to patients.
Performs and reports pacemaker and ICD device interrogation and analysis with reprogramming as needed by following established protocols to provide optimal clinical treatment to patients. Maintains expertise as new technology becomes available including the use of new programmers and the programming of new devices.
Performs other duties as assigned.
Provides continuity of care for EP practice patients between appointments and after hospitalization by providing care to coordinate the effective transmission of patient-related information.
Provides direct patient care by following practice policies and procedures to render appropriate clinical support to the electrophysiologist physicians in both the offices and the hospital environments.
Provides patient education and follow-up reminders by meeting with patients in person and/or over the telephone to ensure that the transtelephonic system is being used appropriately and in a timely manner.
Works in conjunction with device manufacturing representatives to alert physicians and patients of potential device alerts or recalls.
Minimal Qualifications
Education
Graduate of an accredited School of Nursing required
RN required
BSN preferred
Experience
3-4 years Experience post-graduation required
1-2 years Cardiology experience preferred
Licenses and Certifications
RN - Registered Nurse - State Licensure and/or Compact State Licensure Maryland and/or DC Nursing licenses if applicable required and
CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required and
Additional unit/specialty certifications may vary by department or business unit. and
ACLS - Advanced Cardiac Life Support Certification preferred
Knowledge Skills and Abilities
Strong EKG/arrhythmia interpretation skills.
Skilled in performing device checks and reprogramming.
Effective verbal and written communication database management and problem-solving skills are required.
Basic computer skills preferred.
This position has a hiring range of : USD $74,214.00 - USD $134,596.00 /Yr.
Auto-ApplyRegistered Nurse Home Health Part-Time/32
Registered nurse case manager job in Lanham, MD
Join a Team Where Care Meets Independence
Registered Nurse - Home Health | Lanham, MD
Employment Type: Part-Time/PRN
Hourly Range: $44.00 - $47.00
At Community Home Health of Maryland, part of the Medical Services of America family, we believe that healing happens best at home. We're currently seeking a dedicated and experienced Part-Time/32 Registered Nurse (RN) to join our growing team and provide skilled, patient-centered care to individuals in the Lanham, Bowie, Upper Marlboro, Clinton, and Oxon Hill, Maryland areas.
As a Home Health RN, you'll be a trusted guide in a patient's recovery journey-offering support, clinical expertise, and compassionate care in the comfort of their home. Working under the direction of the Director of Professional Services, you'll help patients regain independence and improve their quality of life while avoiding unnecessary hospital visits.
What You'll Do:
Provide one-on-one skilled nursing care to home health patients.
Perform comprehensive initial assessments and develop individualized care plans in coordination with physicians.
Monitor, evaluate, and document patient progress and adjust care plans as needed.
Deliver education and support to patients and families to empower them in managing care at home.
Ensure all care provided aligns with agency policies, clinical guidelines, and physician orders.
Participate in rotating on-call responsibilities to ensure continuity of care.
What You Bring:
Completion of an accredited nursing program.
Active Registered Nurse license in the state of Maryland.
At least 1 year of clinical nursing experience (Home Health experience strongly preferred).
A strong sense of independence and a commitment to patient-centered care.
Reliable transportation and valid driver's license.
Why Choose MSA?
We understand that caring for others begins with supporting our own team. That's why we offer a robust benefits package designed to help you thrive:
Generous Paid Time Off
Medical, Dental & Vision Insurance
Company-Paid Life Insurance
Additional Voluntary Benefits (STD, LTD, Accident, etc.)
401(k) with Company Match
Profit Sharing Program
Ongoing Education & Career Growth Opportunities
Supportive Team Environment
At Community Home Health of Maryland, you're not just making visits-you're making a difference.
Help patients heal where they feel most comfortable: at home.
Medical Services of America is proud to be an Equal Opportunity Employer.
ER Registered Nurse - Full-time Night shift
Registered nurse case manager job in Washington, DC
About Us:
HIGHLIGHTS
SHIFT : Night shift (7p-7a)
JOB TYPE : Full-time
FACILITY TYPE : 16 bed Small-Format Hospital (8 ER, 8 Inpatient)
We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros.
Position Overview:
The purpose of this position is to perform the primary functions of a nurse in assessing, planning, directing, and evaluating patient care in the Emergency Room.
Essential Job Functions:
Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families
Proficiently and consistently complete accurate, concise and legible documentation on medical records
Observe and record signs, symptoms and behaviors including the physiological status of patients
Presents proposed revision of interventions and desired outcomes
Maintain patient's privacy and confidentiality of information and records at all times
Follow physician's orders in the delivery of nursing care
Collect laboratory samples and perform lab testing in accordance with established policies and procedures, as well as COLA and CLIA regulations
Adhere to required infection control, isolation procedures and aseptic techniques in the delivery of patient care
Perform admission, discharge and transfer procedures
Participate in assessing, planning, implementing and evaluating the nursing care given
Assemble equipment and supply for various diagnostic or treatment procedures in the specialty service area; performs or assists others with procedures or treatments. Handle care in accordance with legal, hospital/facility, departmental policies and procedures, and established standards of nursing care and practice, as defined by the Board of Nursing of that State
Other Job Functions:
Perform all Quality Assessment activities assigned and document
Attend staff meetings or other company sponsored or mandated meetings as required
Perform additional duties as assigned
Basic Qualifications:
Associate's Degree, required; BSN, preferred
Current state licensure as a Registered Nurse without sanctions, required
2+ years full-time RN experience in ER or other comparable experience, required
Current BLS, ACLS, and PALS certifications from the American Heart Association, required; ENPC certification from ENA may be substituted for PALS certification; TNCC preferred
Position requires fluency in English; written and oral communication
#appcast
Nurse Case Manager Sr
Registered nurse case manager job in Washington, DC
Location: Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Nurse Case Manager Sr will be responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.
How you will make an impact:
* Ensures member access to services appropriate to their health needs.
* Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
* Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
* Coordinates internal and external resources to meet identified needs.
* Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
* Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
* Negotiates rates of reimbursement, as applicable.
* Assists in problem solving with providers, claims or service issues.
* Assists with development of utilization/care management policies and procedures, chairs and schedules meetings, as well as presents cases for discussion at Grand Rounds/Care Conferences and participates in interdepartmental and/or cross brand workgroups.
* May require the development of a focused skill set including comprehensive knowledge of specific disease process or traumatic injury and functions as preceptor for new care management staff.
* Participates in department audit activities.
Minimum Requirements:
* Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
* Current, unrestricted RN license in applicable state(s) required.
* Multi-state licensure is required if this individual is providing services in multiple states.
Preferred Skills, Capabilities and Experiences:
* Certification as a Case Manager is preferred.
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $89,608- $134,412
Locations: District of Columbia (Washington, DC)
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Job Level:
Non-Management Exempt
Workshift:
Job Family:
MED > Licensed Nurse
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Nurse Case Mgr I (US)
Registered nurse case manager job in Washington, DC
Nurse Case Manager I Location: Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Schedule: Monday-Friday 8:00AM-5:00PM or 8:30AM-5:30PM EST
The Nurse Case Manager I will be responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.
How you will make an impact:
* Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
* Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
* Coordinates internal and external resources to meet identified needs.
* Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
* Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
* Negotiates rates of reimbursement, as applicable.
* Assists in problem solving with providers, claims or service issues.
Minimum Requirements:
* Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
* Current, unrestricted RN license in applicable state(s) required.
* Multi-state licensure is required if this individual is providing services in multiple states.
Preferred Skills, Capabilities & Experiences:
* Certification as a Case Manager and a BS in a health or human services related field preferred.
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $75,440 - $113,160
Locations: District of Columbia (Washington, DC)
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Auto-ApplyTravel Home Health RN - $2,350 per week
Registered nurse case manager job in Washington, DC
Care Career is seeking a travel nurse RN Home Health for a travel nursing job in Washington, District of Columbia.
Job Description & Requirements
Specialty: Home Health
Discipline: RN
Duration: 13 weeks
40 hours per week
Shift: 8 hours, days
Employment Type: Travel
The Home Health Care Registered Nurse administers skilled nursing care to patients in their place of residence. This care is performed in accordance with physician orders and plan of care under the direction and supervision of the Director of Clinical Services/Nursing Supervisor. Home Health Care nurses also provide education and emotional support to the patients, their families and/or significant others.
Care Career Job ID #33703030. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Home Health
About Care Career
Care Career brings together a portfolio of leading healthcare staffing organizations, each delivering specialized talent solutions across the industry. Wherever you want to go, We Make It Happen.
With travel nursing jobs across the country, you can discover the possibilities that create the lifestyle and financial position that you have dreamed of.
Care Career is a modern, transparent staffing firm creating the ultimate community of US.
Benefits
Referral bonus
Weekly pay
Medical benefits
Continuing Education
Dental benefits
Vision benefits
Travel Nurse RN - Educator - $2,600 per week
Registered nurse case manager job in Washington, DC
LanceSoft is seeking a travel nurse RN Educator for a travel nursing job in Washington, District of Columbia.
Job Description & Requirements
Specialty: Educator
Discipline: RN
Duration: 13 weeks
40 hours per week
Shift: 8 hours, days
Employment Type: Travel
Clinical Specialist - L&D, Mother/Baby, NICU (level 3)
Shift: Mon- Friday 40 HRS WEEKLY
Weekend requirement: Emergency only
Must have DC license
2 years of educator experience required
Certs Required: ACLS, BLS, BSN required
EMR:
Required : Cerner
HCRK 1
General Skills: Required: Inpatient Acute Care, Women's Services and Demonstrate effective teaching and presentation skills Preferred: NICU This nurse specialist will cover L&D, Mother Baby & NICU Level 3 The Clinical Specialist serves as a clinical expert and healthcare provider, educator, collaborator, consultant, leader, and researcher for a specific patient population or specialty area while providing consultation to address complex patient care issues, offering guidance on the prevention and management of patient care practices. This facility requires that all employees have the Flu vaccine* May come into contact with Covid Patients*
About LanceSoft
Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.
Benefits
Weekly pay
Medical benefits
Registered Nurse
Registered nurse case manager job in Washington, DC
To be eligible to enlist in the U.S. Navy, candidates must be between the ages of 18-34
The greatest reward for nearly every nurse is the joy of serving others. But in the Navy Nurse Corps, when you work to improve the lives of others, you can vastly improve your ownboth professionally and personally. As a Navy Nurse, you will serve your country by helping not only those in the military who defend it but also their families and people in need around the globe. Excellent scholarship opportunities mean you may graduate from nursing school potentially debt-free, and specialty training opportunities can give you a competitive edge in your field.
NURSING CAREERS IN THE NAVY
NURSE ANESTHETISTS
Administer general and regional anesthesia, monitor patients receiving anesthesia and assist in
instructing medical trainees and other Officers.
PRIMARY CARE NURSE PRACTITIONERS
Provide comprehensive health care and health maintenance for service members and their families.
MEDICAL-SURGICAL NURSES
Assess, plan and implement direct nursing care of patients on an assigned unit and assume charge nurse responsibilities.
PERIOPERATIVE NURSES
Plan, implement and evaluate nursing care of surgery patients.
CRITICAL CARE NURSES
Provide highly skilled, specialized nursing care to critical patientsincluding en route careand train personnel in critical care nursing procedures.
MENTAL HEALTH NURSES AND NURSE PRACTITIONERS
Provide direct patient care in mental health services, and lead and train other military and civilian personnel.
MILITARY-SPECIFIC SPECIALIZATIONS
Focus on education and training, manpower systems analysis and nursing research.
PAY AND BENEFITS
Attend the medical school of your choice and graduate debt-free through our scholarship and loan repayment programs, up to 100% tuition coverage.
Competitive salary
Free health insurance
Free housing
A retirement plan
30 days paid vacation per year
EDUCATION OPPORTUNITIES
Wherever you are in your nursing career, the Navy can help ease your financial burdens and advance your career with generous financial assistance and continuing education programs. Available offers could consist of anything from scholarships to sign-on bonuses to loan repayment assistance. And help could potentially be available whether youre in graduate school or already in practice.
High School Students
Through a Naval Reserve Officers Training Corps (NROTC) Nurse Option scholarship, the Navy can cover the full costup to $180,000of your nursing education at some of the best colleges and universities in the country.
Nursing Students
If youre a nursing student opting to serve full-time in the Navy, you could get up to $34,000 to help pay your way through nursing school through the Nurse Candidate Program (NCP).
Graduate Students
If youre a graduate student enrolled in a postgraduate nursing program in certain nursing specialties and opting to serve part-time as a Reserve Officer, you may qualify for up to $50,000 in nursing school loan repayment assistance.
Practicing Nurses
If youre a practicing nurse opting to serve part-time as a Reserve Officer, you may qualify for an immediate, one-time sign-on bonus of up to $30,000. And depending on your specialty, you may have the option of choosing between a sign-on bonus, nursing school loan repayment assistance or specialty pay.
Speak to a recruiter to learn what you qualify to receive.
WORK ENVIRONMENT
Nurse Corps Officers may serve at any one of more than 250 Navy and medical facilities around the globe, from Hawaii to Japan, Germany to Guam and Washington, D.C., to Washington state. As a Navy Nurse, you could work at one of the highly acclaimed National Naval Medical Centers in Bethesda, MD, Portsmouth, VA or San Diego, CA. Or you could provide medical support aboard one of two dedicated hospital shipsthe USNS Comfort and USNS Mercy. Additional opportunities are available on surface ships, with aircraft squadrons or even with the Fleet Marine Force.
QUALIFICATIONS AND REQUIREMENTS
To become a Commissioned Officer in the Nurse Corps, qualifications include:
U.S. Citizen between the ages of 18 and 41
Currently licensed and practicing nursing in the U.S. (new graduates must obtain a license within one year of beginning Active Duty service)
In good standing (as a student or graduate) with a CCNE-accredited U.S. education program granting a
Bachelor of Science degree
General qualifications may vary depending upon whether youre currently serving, whether youve served before or whether youve never served before.
PART-TIME OPPORTUNITIES
There are part-time opportunities as a Reserve Navy Nurse. Serving part-time as a Navy Reserve Nurse, your duties will be carried out during your scheduled drilling and training periods. During monthly drilling, Nurse Corps Officers in the Navy Reserve typically work at a location close to their homes.
Take a moment to learn more about the general roles and responsibilities of Navy Reserve Sailors.
RequiredPreferredJob Industries
Government & Military
Travel Stepdown RN
Registered nurse case manager job in Alexandria, VA
“WHEN YOU WORK FOR US, WE WORK FOR YOU.”Travel Stepdown RN
Weekly Gross Pay: $1891.00 - $2091.00
Assignment length: 12 Weeks
Minimum years of relevant experience in healthcare: 2 years
Job type: Traveler
Shift: Night (3x12)
Certifications: ACLS/BCLS/BLS
Position Highlights
12-week travel contract
Competitive weekly pay package
Work with an experienced clinical and recruiting team
Quick start options available (inquire for details)
Titan Medical is looking for travelers to fill a Travel Stepdown position for a 13 week assignment in Alexandria, VA! Call Titan for additional details. **************
Benefits
Day-one medical, dental & vision insurance
Loyalty bonus after 2,080 hours
Life and short-term disability
401(k) with employer match
Referral bonus up to $1,500
24/7 recruiter support
Licensure and CEU reimbursement
Experienced clinical team available to support you throughout your assignment
Titan Medical App available on the Apple Store & Google Play
Why Travel with Titan Medical
Titan Medical provides access to thousands of travel nursing and allied health jobs nationwide. Your dedicated recruiter will help you:
Build a strong traveler profile by improving your résumé and showcasing your skills
Increase your chances of landing the assignment you want
Travel with a top healthcare staffing company in the industry
Ready to apply or want more information?
Call ************** to connect with Titan Medical today!
RN Electrophysiology Device - Relocation Offered!
Registered nurse case manager job in Annapolis, MD
Coordinates daily functions of the practice's EP device program by serving as a primary resource for pacemaker and defibrillator programming and tracking. Provides direct patient care and database administration to assure high-quality care and service to patients with implanted EP devices.
Primary Duties and Responsibilities
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.
Assists in the development and implementation of pre-and postoperative and discharge teaching for patients undergoing implantation of permanent pacemaker/ICD devices EP studies and radiofrequency ablations.
Coordinates EP Device Clinic with EP Physicians' Schedules and notifies management of potential scheduling conflicts.
Enrolls patients in the appropriate transtelephonic system by gathering and updating information from patient medical records and educating patients on the use of the system to ensure accurate and timely participation in the transtelephonic system.
Maintains a regulatory/compliance environment by following organizational policies and procedures to ensure compliance to state local and federal standards and regulations.
Performs and reports clinical analysis of device interrogations received through the transtelephonic systems by following established protocols to provide optimal clinical treatment to patients.
Performs and reports pacemaker and ICD device interrogation and analysis with reprogramming as needed by following established protocols to provide optimal clinical treatment to patients. Maintains expertise as new technology becomes available including the use of new programmers and the programming of new devices.
Performs other duties as assigned.
Provides continuity of care for EP practice patients between appointments and after hospitalization by providing care to coordinate the effective transmission of patient-related information.
Provides direct patient care by following practice policies and procedures to render appropriate clinical support to the electrophysiologist physicians in both the offices and the hospital environments.
Provides patient education and follow-up reminders by meeting with patients in person and/or over the telephone to ensure that the transtelephonic system is being used appropriately and in a timely manner.
Works in conjunction with device manufacturing representatives to alert physicians and patients of potential device alerts or recalls.
Minimal Qualifications
Education
Graduate of an accredited School of Nursing or Exercise Physiology program required and
RN or MCEP required
BSN preferred
Experience
3-4 years Experience post graduation required and
1-2 years Cardiology experience preferred
Licenses and Certifications
RN - Registered Nurse - State Licensure and/or Compact State Licensure Maryland and/or DC Nursing licenses if applicable required and
CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required and
Additional unit/specialty certifications may vary by department or business unit. and
ACLS - Advanced Cardiac Life Support Certification preferred
Knowledge Skills and Abilities
Strong EKG/arrhythmia interpretation skills.
Skilled in performing device checks and reprogramming.
Effective verbal and written communication database management and problem-solving skills are required.
Basic computer skills preferred.
This position has a hiring range of : USD $74,214.00 - USD $134,596.00 /Yr.
Auto-ApplyNurse Case Manager Sr
Registered nurse case manager job in Washington, DC
**Location:** Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The **Nurse Case Manager Sr** will be responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.
**How you will make an impact:**
+ Ensures member access to services appropriate to their health needs.
+ Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
+ Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
+ Coordinates internal and external resources to meet identified needs.
+ Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
+ Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
+ Negotiates rates of reimbursement, as applicable.
+ Assists in problem solving with providers, claims or service issues.
+ Assists with development of utilization/care management policies and procedures, chairs and schedules meetings, as well as presents cases for discussion at Grand Rounds/Care Conferences and participates in interdepartmental and/or cross brand workgroups.
+ May require the development of a focused skill set including comprehensive knowledge of specific disease process or traumatic injury and functions as preceptor for new care management staff.
+ Participates in department audit activities.
**Minimum Requirements:**
+ Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
+ Current, unrestricted RN license in applicable state(s) required.
+ Multi-state licensure is required if this individual is providing services in multiple states.
**Preferred Skills, Capabilities and Experiences** :
+ Certification as a Case Manager is preferred.
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $89,608- $134,412
Locations: District of Columbia (Washington, DC)
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws _._
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Travel Cardiac Cath Lab Registered Nurse - $2,881 per week
Registered nurse case manager job in Washington, DC
Care Career is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Washington, District of Columbia.
Job Description & Requirements
Specialty: Cardiac Cath Lab
Discipline: RN
Duration: 13 weeks
40 hours per week
Shift: 10 hours, days
Employment Type: Travel
A cardiac catheterization lab nurse has the primary function of performing work using the heart catheterization tool. This catheter is inserted into the arteries of the heart and used to diagnose heart conditions and sometimes used to provide treatment for certain heart conditions. They also assist physicians with the implant of pacemakers and defibrillators in patients who are suffering from heart conditions and heart disease. Physicians performing angioplasties, valvuloplasties, stent placements, cardiac catheterization, and other catheterization procedures often employ the assistance of a cardiac catheterization lab nurse.
Care Career Job ID #34951617. Pay package is based on 10 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Cath Lab
About Care Career
Care Career brings together a portfolio of leading healthcare staffing organizations, each delivering specialized talent solutions across the industry. Wherever you want to go, We Make It Happen.
With travel nursing jobs across the country, you can discover the possibilities that create the lifestyle and financial position that you have dreamed of.
Care Career is a modern, transparent staffing firm creating the ultimate community of US.
Benefits
Referral bonus
Weekly pay
Medical benefits
Continuing Education
Dental benefits
Vision benefits
Nurse Case Manager I
Registered nurse case manager job in Ashburn, VA
Shift: Monday - Friday; 8:30am - 5:00pm EST Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.
How you will make an impact:
* Ensures member access to services appropriate to their health needs.
* Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
* Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
* Coordinates internal and external resources to meet identified needs.
* Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
* Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
* Negotiates rates of reimbursement, as applicable.
* Assists in problem solving with providers, claims or service issues.
Minimum Requirements:
* Requires BA/BS in a health-related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
* Current, unrestricted RN license in applicable state(s) required.
* Multi-state licensure is required if this individual is providing services in multiple states.
* For URAC accredited areas the following applies: Requires BA/BS and 3 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background.
* Current and active RN license required in applicable state(s).
* Multi-state licensure is required if this individual is providing services in multiple states.
Preferred skills, capabilities, and requirements:
* Certification as a Case Manager and a BS in a health or human services related field preferred.
* Previous OB/NICU experience preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Auto-ApplyRegistered Nurse
Registered nurse case manager job in Hyattsville, MD
To be eligible to enlist in the U.S. Navy, candidates must be between the ages of 18-34
The greatest reward for nearly every nurse is the joy of serving others. But in the Navy Nurse Corps, when you work to improve the lives of others, you can vastly improve your ownboth professionally and personally. As a Navy Nurse, you will serve your country by helping not only those in the military who defend it but also their families and people in need around the globe. Excellent scholarship opportunities mean you may graduate from nursing school potentially debt-free, and specialty training opportunities can give you a competitive edge in your field.
NURSING CAREERS IN THE NAVY
NURSE ANESTHETISTS
Administer general and regional anesthesia, monitor patients receiving anesthesia and assist in
instructing medical trainees and other Officers.
PRIMARY CARE NURSE PRACTITIONERS
Provide comprehensive health care and health maintenance for service members and their families.
MEDICAL-SURGICAL NURSES
Assess, plan and implement direct nursing care of patients on an assigned unit and assume charge nurse responsibilities.
PERIOPERATIVE NURSES
Plan, implement and evaluate nursing care of surgery patients.
CRITICAL CARE NURSES
Provide highly skilled, specialized nursing care to critical patientsincluding en route careand train personnel in critical care nursing procedures.
MENTAL HEALTH NURSES AND NURSE PRACTITIONERS
Provide direct patient care in mental health services, and lead and train other military and civilian personnel.
MILITARY-SPECIFIC SPECIALIZATIONS
Focus on education and training, manpower systems analysis and nursing research.
PAY AND BENEFITS
Attend the medical school of your choice and graduate debt-free through our scholarship and loan repayment programs, up to 100% tuition coverage.
Competitive salary
Free health insurance
Free housing
A retirement plan
30 days paid vacation per year
EDUCATION OPPORTUNITIES
Wherever you are in your nursing career, the Navy can help ease your financial burdens and advance your career with generous financial assistance and continuing education programs. Available offers could consist of anything from scholarships to sign-on bonuses to loan repayment assistance. And help could potentially be available whether youre in graduate school or already in practice.
High School Students
Through a Naval Reserve Officers Training Corps (NROTC) Nurse Option scholarship, the Navy can cover the full costup to $180,000of your nursing education at some of the best colleges and universities in the country.
Nursing Students
If youre a nursing student opting to serve full-time in the Navy, you could get up to $34,000 to help pay your way through nursing school through the Nurse Candidate Program (NCP).
Graduate Students
If youre a graduate student enrolled in a postgraduate nursing program in certain nursing specialties and opting to serve part-time as a Reserve Officer, you may qualify for up to $50,000 in nursing school loan repayment assistance.
Practicing Nurses
If youre a practicing nurse opting to serve part-time as a Reserve Officer, you may qualify for an immediate, one-time sign-on bonus of up to $30,000. And depending on your specialty, you may have the option of choosing between a sign-on bonus, nursing school loan repayment assistance or specialty pay.
Speak to a recruiter to learn what you qualify to receive.
WORK ENVIRONMENT
Nurse Corps Officers may serve at any one of more than 250 Navy and medical facilities around the globe, from Hawaii to Japan, Germany to Guam and Washington, D.C., to Washington state. As a Navy Nurse, you could work at one of the highly acclaimed National Naval Medical Centers in Bethesda, MD, Portsmouth, VA or San Diego, CA. Or you could provide medical support aboard one of two dedicated hospital shipsthe USNS Comfort and USNS Mercy. Additional opportunities are available on surface ships, with aircraft squadrons or even with the Fleet Marine Force.
QUALIFICATIONS AND REQUIREMENTS
To become a Commissioned Officer in the Nurse Corps, qualifications include:
U.S. Citizen between the ages of 18 and 41
Currently licensed and practicing nursing in the U.S. (new graduates must obtain a license within one year of beginning Active Duty service)
In good standing (as a student or graduate) with a CCNE-accredited U.S. education program granting a
Bachelor of Science degree
General qualifications may vary depending upon whether youre currently serving, whether youve served before or whether youve never served before.
PART-TIME OPPORTUNITIES
There are part-time opportunities as a Reserve Navy Nurse. Serving part-time as a Navy Reserve Nurse, your duties will be carried out during your scheduled drilling and training periods. During monthly drilling, Nurse Corps Officers in the Navy Reserve typically work at a location close to their homes.
Take a moment to learn more about the general roles and responsibilities of Navy Reserve Sailors.
RequiredPreferredJob Industries
Government & Military
Nurse Case Mgr II (US)
Registered nurse case manager job in Washington, DC
**Nurse Case Manager II** **Location:** **Washington, DC.** This role requires associates to be in-office 4 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The **Nurse Case Manager II** will be responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.
**How you will make an impact:**
+ Ensures member access to services appropriate to their health needs.
+ Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
+ Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
+ Coordinates internal and external resources to meet identified needs.
+ Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
+ Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
+ Negotiates rates of reimbursement, as applicable.
+ Assists in problem solving with providers, claims or service issues.
+ Assists with development of utilization/care management policies and procedures.
**Minimum Requirements:**
+ Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
+ Current, unrestricted RN license in applicable state(s) required (Washington, DC).
+ Multi-state licensure is required if this individual is providing services in multiple states.
**Preferred Skills, Capabilities and Experiences** :
+ Certification as a Case Manager is preferred.
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $84,272- $126,408
Locations: District of Columbia (Washington, DC)
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws _._
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.