Utilization review nurse jobs in District of Columbia

Requires Vent Experience Are you a critical thinker, a skilled communicator, and passionate about caring for residents? Are you seeking career advancement? As a Registered Nurse (RN) at The Laurels of Middletown, you have the opportunity to use your nursing skills and become a leader. If you're going to work every day for a living, make it count for yourself and your family by joining a company with one of the leading employee benefits packages in the long term health industry. Career ladder programs Paid Time Off Competitive pay Comprehensive medical, dental, vision insurance What you'll be doing Supervise the care/services provided by the LPNs, Certified Nursing Assistants and other team members who care for the residents Coordinate the nursing care of residents on the unit assuring all residents are assigned staff capable of providing appropriate care to the resident. Provide safe and accurate Medication Related interventions to residents. Assess the health of residents and notify the physician of changes in status and promptly implement new orders. Develop a plan of care based on assessment, implementing nursing care. Select and institutes appropriate nursing interventions to stabilize a resident's condition and /or prevent complications. Contribute to the resident's assessment (MDS/CAA's) and the development of a plan of care. Education and/or Experience: ADN or BSN Demonstrates knowledge of basic nursing practice with an interest in gerontological nursing. Prefer 2 years' experience in a long term care setting. One year vent experience Certificates, Licenses, Registrations: Must have a current state license to practice as a registered nurse (RN) Current CPR certification Additional certification in nursing specialty desired. IND123

Requires Vent Experience Are you a critical thinker, a skilled communicator, and passionate about caring for residents? Are you seeking career advancement? As a Registered Nurse (RN) at The Laurels of Milford, you have the opportunity to use your nursing skills and become a leader. If you're going to work every day for a living, make it count for yourself and your family by joining a company with one of the leading employee benefits packages in the long term health industry. Career ladder programs Paid Time Off Competitive pay Comprehensive medical, dental, vision insurance What you'll be doing Supervise the care/services provided by the LPNs, Certified Nursing Assistants and other team members who care for the residents Coordinate the nursing care of residents on the unit assuring all residents are assigned staff capable of providing appropriate care to the resident. Provide safe and accurate Medication Related interventions to residents. Assess the health of residents and notify the physician of changes in status and promptly implement new orders. Develop a plan of care based on assessment, implementing nursing care. Select and institutes appropriate nursing interventions to stabilize a resident's condition and /or prevent complications. Contribute to the resident's assessment (MDS/CAA's) and the development of a plan of care. Education and/or Experience: ADN or BSN Demonstrates knowledge of basic nursing practice with an interest in gerontological nursing. Prefer 2 years' experience in a long term care setting. Certificates, Licenses, Registrations: Must have a current state license to practice as a registered nurse (RN) Current CPR certification Additional certification in nursing specialty desired. IND123

Wages based on MDS Experience $15,000 sign on bonus Are you an experienced nurse who wants to remain clinically involved in patient care without being a bedside nurse? Are you organized, efficient, and able to manage your work with autonomy? MDS nursing at Brittany Manor may be just what you're looking for! At Ciena Healthcare, we take care of you too, with an attractive benefits package including: Competitive pay, Life Insurance, 401K with matching funds, Health insurance, AFLAC. Employee discounts Tuition Reimbursement You will join an experienced, hard-working team that values communication and strong teamwork abilities. Responsibilities: The Care Management Nurse, MDS Nurse works the RAI process and conducts assessments and care plan coordination for those residents assigned. Some responsibilities of the MDS nurse include: Completes the MDS, CAA's and care plans within regulated time frames Assesses resident through physical assessment, interview and chart review Discusses resident care needs with caregivers, including physician, nursing, social services, therapy, dietary, and activity staff Reviews information from hospitals, consults, and outside agencies and uses such information in the completion of the assessment and care planning Coordinates, identifies, and/or initiates significant change MDS Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintain PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator Remains current with the American Association of Nursing Assessment Coordinators (AANAC) requirements Qualifications: Registered Nurse, RN AANC certification a plus. RAC-CT Knowledge of the Resident Assessment Instrument (RAI) process, including the principles of the Prospective Payment Process (PPS) strongly preferred Experience as an MDS Nurse About Ciena Healthcare Ciena Healthcare is Michigan's largest provider of skilled nursing and rehabilitation care services. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way, Ciena is the place for you! #IND123 #signon

Are you an experienced nurse who wants to remain clinically involved in patient care without being a bedside nurse? Are you organized, efficient, and able to manage your own work with autonomy? MDS nursing at The Laurels of Bedford may be just what you're looking for! Laurel Health Care Company offers one of the leading employee benefit packages in the industry, including health insurance, 401K with matching funds, paid time off and paid holidays. When you work with Laurel Health Care Company, you will join an experienced, hard-working team that values communication and strong teamwork abilities. Responsibilities The Care Management Nurse, MDS Nurse works the RAI process and conducts assessments and care plan coordination for those residents assigned. Some responsibilities of the MDS nurse include: Completes the MDS, CAA's and care plans within regulated time frames. Assesses resident through physical assessment, interview and chart review. Discusses resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff. Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning. Coordinates, identifies, and/or initiates significant change MDS' Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator Remains current with the American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications: Registered Nurse (RN) or Licensed Practical Nurse (LPN) AANC certification a plus. RAC-CT Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Prospective Payment Process (PPS) strongly preferred. Experience as an MDS Nurse or acceptable exemption required About Laurel Health Care Laurel Health Care Company is a national provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care. At The Laurels, caring is more than providing excellent medical and guest services. It's also being a companion, and treating each guest with the utmost dignity, respect and compassion. It's what we call "The Laurel Way of Caring", and it comes from within each one of us. IND123

Are you an experienced nurse who wants to remain clinically involved in patient care without being a bedside nurse? Are you organized, efficient, and able to manage your own work with autonomy? MDS nursing at West Bloomfield Health and Rehabilitation Center may be just what you're looking for! At Ciena Healthcare, we take care of you too, with an attractive benefit package including: Competitive pay Life Insurance 401K with matching funds Health insurance AFLAC Employee discounts Tuition Reimbursement You will join an experienced, hard-working team that values communication and strong teamwork abilities. Responsibilities The Care Management Nurse, MDS Nurse works the RAI process and conducts assessments and care plan coordination for those residents assigned Completes the MDS, CAA's and care plans within regulated time frames. Assesses resident through physical assessment, interview and chart review. Discusses resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff. Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning. Coordinates, identifies, and/or initiates significant change MDS' Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator Remains current with the American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications Registered Nurse (RN) AANC certification a plus. RAC-CT Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Prospective Payment Process (PPS) strongly preferred. Experience as an MDS Nurse About Ciena Healthcare Ciena Healthcare is Michigan's largest provider of skilled nursing and rehabilitation care services. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way, Ciena is the place for you! IND123

Sign-On Bonus Available Relocation Assistance Available Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Full Time Shift: Days Work within the nursing process to provide direct nursing care to assigned patients. Serve as a role model to promote a positive work environment and quality patient care. Ensures adherence to Hospital and Departmental Policies and Procedures. Patient care assignment may include; Neonate, Pediatric, Adolescent, Adult and Geriatric age groups. PATIENT CARE - Deliver safe direct care to an assigned group of patients as required * POLICIES - Work within Hospitals, Nursing division and departmental policies * CARE PLAN - Work in collaboration with the healthcare team, implement and document individualized care plans incorporating age specific considerations, including discharge planning and patient/family teaching * upon successful completion of preceptor training assume precepting and evaluation responsibilities of new personnel * EMERGENCY MEASURES - Assist with or institute emergency measures for sudden, adverse developments in patients * MEDICAL RECORDS - Ensure that patient medical records contain necessary information * INQUIRIES - Answer telephones and triage calls as per departmental policy * document and communicate clinical findings * PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols * PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes * PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk * PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner * PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right" Program Graduate Bachelor's Degree Nationally Accredited Nursing Graduate Nursing No minimum experience required Bilingual English/Spanish CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days * RN in NM or as allowed by reciprocal agreement by NM Chemicals, Bio Hazardous Materials req PPE * Tuberculosis testing is completed upon hire and additionally as required Registered Nurse

**Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. **Use your skills to make an impact** **Required Qualifications** + Active unrestricted RN license with the ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + Willing to work in multiple time zones + Strong written and verbal communication skills + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced environment + Ability to form positive working relationships with all internal and external customers **Preferred Qualifications** + Education: BSN or bachelor's degree in a related field + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Interview Format - HireVue** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. **Work-At-Home Requirements** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **Benefits** Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including: + Health benefits effective day 1 + Paid time off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer match + Tuition assistance + Scholarships for eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-25-2025 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

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 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.

About the Job Coordinates the operations of designated ambulatory practice(s) associates. Supervises clinical and support staff. Provides direct patient care and assists physicians with patient care. Develops implements and maintains operational policies and procedures in consultation with physicians and administrative director. Primary Duties and Responsibilities * Develops goal/objectives for the work group to contribute to the achievement of the MWHC business strategy. Addresses roadblocks to achieving established goals and objectives. * Coordinates the day-to-day patient flow of designated ambulatory practices. Adjusts schedules/patient appointments to meet changing priorities due to severity of patients' needs. Works with physicians and staff to minimize patient wait time. * Supervises clinical and support staff. Establishes work schedules makes daily assignments delegates and assigns duties/responsibilities. Interviews hires evaluates performance promotes and disciplines staff in conjunction with the Medical and Administrative Director. * Assures appropriate triage of all incoming patient calls. Assesses acuity of patient condition responding appropriately to requests for appointments concern with need to be seen and how soon as well as general clinical question/concern(s)(s). Notifies physicians of discussions as appropriate. Calls in prescription refills after consulting with physician. * Notifies appropriate physician of any critical or abnormal results. Notifies patient of results as requested by physician. Completes proper documentation in patient's electronic medical record. . * Provides direct patient care including but not limited to escorting patients to examination room taking vitals taking EKG's phlebotomy giving injections and assisting physicians with procedures as necessary. Ensures the physical well being of patients. * Establishes and maintains systems/procedures to handle referrals in accordance with various insurance guidelines. Obtains authorization(s) for patient admissions surgical procedures specific tests and verification of referrals to specialists from insurance companies/HMOs. * Provides patient education based on appropriateness to the clinic. * Resolves conflicts between patients physician and staff independently and/or in consultation with the physicians and administrative director * Maintains a continuing education program for staff by giving or arranging for inservices and providing for training opportunities. * Develops and modifies unit policies procedures and operating protocols to ensure quality performance in conjunction with the physicians and Administrative Director. Reports statistics evaluates problems and proposes solutions for the unit. * Monitors and controls the unit's budget in consultation with the physicians and the Administrative Director. Forecasts activities and costs. Procures and manages unit equipment instrumentation supplies etc. Evaluates and recommends new equipment and instruments. * Maintains current knowledge of technical and business developments and communicates relevant information to the work group. * Takes actions to support the National Patient Safety Goals nursing sensitive indicators regulatory requirements (i.e. DC Health TJC) and other identified quality metrics. * Promotes Pathway to Excellence standards through daily practice. Minimal Qualifications Education * Bachelor's degree in Nursing required Experience * 3-4 years of progressively more responsible job related nursing and medical office practice experience preferably in a multiple physician practice required Licenses and Certifications * RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia required * 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 * Additional unit/specialty certifications may vary by department or business unit. This position has a hiring range of USD $102,606.00 - USD $196,996.00 /Yr. General Summary of Position Coordinates the operations of designated ambulatory practice(s) associates. Supervises clinical and support staff. Provides direct patient care and assists physicians with patient care. Develops implements and maintains operational policies and procedures in consultation with physicians and administrative director. Primary Duties and Responsibilities * Develops goal/objectives for the work group to contribute to the achievement of the MWHC business strategy. Addresses roadblocks to achieving established goals and objectives. * Coordinates the day-to-day patient flow of designated ambulatory practices. Adjusts schedules/patient appointments to meet changing priorities due to severity of patients' needs. Works with physicians and staff to minimize patient wait time. * Supervises clinical and support staff. Establishes work schedules makes daily assignments delegates and assigns duties/responsibilities. Interviews hires evaluates performance promotes and disciplines staff in conjunction with the Medical and Administrative Director. * Assures appropriate triage of all incoming patient calls. Assesses acuity of patient condition responding appropriately to requests for appointments concern with need to be seen and how soon as well as general clinical question/concern(s)(s). Notifies physicians of discussions as appropriate. Calls in prescription refills after consulting with physician. * Notifies appropriate physician of any critical or abnormal results. Notifies patient of results as requested by physician. Completes proper documentation in patient's electronic medical record. . * Provides direct patient care including but not limited to escorting patients to examination room taking vitals taking EKG's phlebotomy giving injections and assisting physicians with procedures as necessary. Ensures the physical well being of patients. * Establishes and maintains systems/procedures to handle referrals in accordance with various insurance guidelines. Obtains authorization(s) for patient admissions surgical procedures specific tests and verification of referrals to specialists from insurance companies/HMOs. * Provides patient education based on appropriateness to the clinic. * Resolves conflicts between patients physician and staff independently and/or in consultation with the physicians and administrative director * Maintains a continuing education program for staff by giving or arranging for inservices and providing for training opportunities. * Develops and modifies unit policies procedures and operating protocols to ensure quality performance in conjunction with the physicians and Administrative Director. Reports statistics evaluates problems and proposes solutions for the unit. * Monitors and controls the unit's budget in consultation with the physicians and the Administrative Director. Forecasts activities and costs. Procures and manages unit equipment instrumentation supplies etc. Evaluates and recommends new equipment and instruments. * Maintains current knowledge of technical and business developments and communicates relevant information to the work group. * Takes actions to support the National Patient Safety Goals nursing sensitive indicators regulatory requirements (i.e. DC Health TJC) and other identified quality metrics. * Promotes Pathway to Excellence standards through daily practice. Minimal Qualifications Education * Bachelor's degree in Nursing required Experience * 3-4 years of progressively more responsible job related nursing and medical office practice experience preferably in a multiple physician practice required Licenses and Certifications * RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia required * 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 * Additional unit/specialty certifications may vary by department or business unit.

LanceSoft is seeking a travel nurse RN Hematology / Oncology for a travel nursing job in Washington, District of Columbia. Job Description & Requirements Specialty: Hematology / Oncology Discipline: RN Duration: 13 weeks 40 hours per week Shift: 10 hours, days Employment Type: Travel BMT (ONCOLOGY ) RN Certs Required: BLS Cert Preferred: OCN, BMTCN License: DC License in Hand Skills Preferred: BMT, Inpatient oncology, Outpatient oncology, Pediatric oncology and Radiation Oncology We are looking for a nurse w/ hematology/oncology experience preferred, BMT experience preferred, outpatient clinic experience preferred. 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

Coast Medical Service is seeking a travel nurse RN Hematology / Oncology for a travel nursing job in Washington, District of Columbia. Job Description & Requirements Specialty: Hematology / Oncology Discipline: RN Start Date: 02/09/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Please note that pay rate may differ for locally based candidates. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. We look forward to speaking with you! Coast Medical Services Job ID #35127223. 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:Bone Marrow,07:00:00-15:30:00 Benefits Holiday Pay Sick pay 401k retirement plan Pet insurance Health Care FSA

About the Job The Nurse Coordinator Bloodless Medicine is responsible for the planning development and implementation of the Bloodless Medicine program. Develops and manages the operational the operational budget and patient outcome performance; collaborates with specialty departments and patient care units regarding all aspects of non-blood management; serves as a liaison between MedStar Washington Hospital Center and other facilities physicians and families; and manages all personnel related aspects of the department to include the blood conservation staff. Primary Duties and Responsibilities Clinical Practice: Acts as liaison between patients physicians family and staff.Clinical Practice: Discusses and documents clinical alternatives acceptable to patients.Clinical Practice: Finds and makes appointments with cooperating physicias.Clinical Practice: Monitors patients on an ongoing basis.Clinical Practice: Collects data related to the Bloodless Medicine program using an approved data collection tool.Communication: Communicates clearly accurately and effectively to peers physicians visitors and other departments to facilitate patient care.Communication: Clarifies forms financial arrangements and hospital polices to patients and family.Communication: Acts as information resource for the medical staff.Leadership: Supports unit and organization's goals for the fulfillment of the program.Leadership: Delegates and supervises other nursing staff in rendering patient care in accordance with DC Scope of Practice hospital polices and procedures and the American Association of Critical Care Nurses (AACN) standards.Education and Research: Participates in educational programs to ensure the appropriate implementation of the program.Education and Research: Collaborates with nursing units to mentor and educate staff and promote successful implementation of the program.Education and Research: Incorporates research and provides ongoing revision to the program as needed. Minimal Qualifications Education * Bachelor's degree in Nursing required * Master's degree preferred Experience * 3-4 years of critical care nursing experience required Licenses and Certifications * RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia required This position has a hiring range of USD $89,065.00 - USD $162,801.00 /Yr.

Hourly Pay: $39.72/hr & Health & Wellness $4.93/hr worked (in lieu of benefits) Benefits: Vested Vacation, sick leave, holiday leave, Life, Accidental Death and Dismemberment, Short Term Disability Optional Benefits: Medical, Dental, Vision, 401(K) matching with employee participation in 401(K) plan Responsibilities Nurse Coordinators (Level 1) are responsible for providing direct nursing care to end-user clients within identified clinical scope of services for the site managed in an independent service delivery capacity. Candidates must be able to responsibly triage medical conditions, respond quickly and calmly to medical emergencies for the population and geographic area identified within service agreements, and accurately analyzes medical history and conditions to address minor illnesses, conditions, and first aid delivery needs and to provide appropriate personalized health counseling to individual clients to improve health outcomes. Candidates must be able to identify population health trends to develop and deliver appropriate health education seminars, determine appropriate formulary products, and identify service delivery opportunities to improve population health. Must follow FOH policies and SOPs. Provide direct nursing care within the scope of services defined by FOH for the SPS, to include basic occupational health care, individualized and/or group health education, personalized health counseling, and appropriate medical and wellness referrals for clients presenting in the occupational health center or outreach event for occupational health services. Coordinate all SPS administrative activities, including creation and submission of routine site activity and data reports, formulary and supply ordering, medication and medical records management (and key control activities), data collection and reporting activities, and the planning, implementation, and management of all contractually negotiated outreach services as directed by the COR, the Area Nurse Manager and the Customer POC. Ensure service delivery occurs according to the scope of services determined for the site and appropriately recorded in the FOH MIS according to the stipulations outlined within the appropriate interagency Agreements, Statements of Work, and Work Orders. Report site-specific problems to the Area Nurse Manager (e.g., relief staffing needs, supply issues, environment of care hazards, onsite operational emergencies, etc.) in a timely manner. Report all safety events as directed to the FOH Quality Safety and Risk Manager according to specific timelines and procedures outlined in FOH policy and procedure. Qualifications Education/Credentials/Experience: Graduation from NLN accredited school of nursing (Diploma, AD, or BSN) RN licensure with Basic Life Support (BLS) for Health care provider certification - May require Advanced Cardiac Life Support (ACLS) training At least two (2) years' experience in occupational health or related experience such as public health/community health, outpatient clinic, emergency department or ambulatory healthcare, or physician office nursing. At least one year experience (within last 5 years) in acute care setting May require the following certifications (depending on specific site needs): CAOHC Certification, NIOSH spirometry training/certification Specified Skills Requirements: Excellent communication and organization skills and ability to perform identified nursing services. Must be competent in basic Microsoft Office suite programs to develop adequate site activity reports and perform accurate and legible data collection activities as directed. Kako'o Services LLC Kako'o Services is a premier provider of healthcare workers to various military treatment facilities across the United States. With a corporate office in Honolulu, Hawaii and recruiting office in San Antonio, Texas we specialize in providing skilled, trained and highly successful healthcare workers, including RNs, CRNAs, Physicians, LPN/LVN, Licensed Social Workers, and many more. We have a strong focus on providing our government customers with quality and superior service. Kako'o Services is an equal opportunity employer and Minorities, Females, Veterans, and Disabled persons are encouraged to apply. For further information, please click the link below to view the EEO Is The Law poster. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. Only qualified individuals who are being considered will be contacted for an interview.

Hourly Pay: $39.72/hr & Health & Wellness $4.93/hr worked (in lieu of benefits) Benefits: Vested Vacation, sick leave, holiday leave, Life, Accidental Death and Dismemberment, Short Term Disability Optional Benefits: Medical, Dental, Vision, 401(K) matching with employee participation in 401(K) plan Responsibilities Nurse Coordinators (Level 1) are responsible for providing direct nursing care to end-user clients within identified clinical scope of services for the site managed in an independent service delivery capacity. Candidates must be able to responsibly triage medical conditions, respond quickly and calmly to medical emergencies for the population and geographic area identified within service agreements, and accurately analyzes medical history and conditions to address minor illnesses, conditions, and first aid delivery needs and to provide appropriate personalized health counseling to individual clients to improve health outcomes. Candidates must be able to identify population health trends to develop and deliver appropriate health education seminars, determine appropriate formulary products, and identify service delivery opportunities to improve population health. Must follow FOH policies and SOPs. Provide direct nursing care within the scope of services defined by FOH for the SPS, to include basic occupational health care, individualized and/or group health education, personalized health counseling, and appropriate medical and wellness referrals for clients presenting in the occupational health center or outreach event for occupational health services. Coordinate all SPS administrative activities, including creation and submission of routine site activity and data reports, formulary and supply ordering, medication and medical records management (and key control activities), data collection and reporting activities, and the planning, implementation, and management of all contractually negotiated outreach services as directed by the COR, the Area Nurse Manager and the Customer POC. Ensure service delivery occurs according to the scope of services determined for the site and appropriately recorded in the FOH MIS according to the stipulations outlined within the appropriate interagency Agreements, Statements of Work, and Work Orders. Report site-specific problems to the Area Nurse Manager (e.g., relief staffing needs, supply issues, environment of care hazards, onsite operational emergencies, etc.) in a timely manner. Report all safety events as directed to the FOH Quality Safety and Risk Manager according to specific timelines and procedures outlined in FOH policy and procedure. Qualifications Education/Credentials/Experience: Graduation from NLN accredited school of nursing (Diploma, AD, or BSN) RN licensure with Basic Life Support (BLS) for Health care provider certification - May require Advanced Cardiac Life Support (ACLS) training At least two (2) years' experience in occupational health or related experience such as public health/community health, outpatient clinic, emergency department or ambulatory healthcare, or physician office nursing. At least one year experience (within last 5 years) in acute care setting May require the following certifications (depending on specific site needs): CAOHC Certification, NIOSH spirometry training/certification Specified Skills Requirements: Excellent communication and organization skills and ability to perform identified nursing services. Must be competent in basic Microsoft Office suite programs to develop adequate site activity reports and perform accurate and legible data collection activities as directed. Kako'o Services LLC Kako'o Services is a premier provider of healthcare workers to various military treatment facilities across the United States. With a corporate office in Honolulu, Hawaii and recruiting office in San Antonio, Texas we specialize in providing skilled, trained and highly successful healthcare workers, including RNs, CRNAs, Physicians, LPN/LVN, Licensed Social Workers, and many more. We have a strong focus on providing our government customers with quality and superior service. Kako'o Services is an equal opportunity employer and Minorities, Females, Veterans, and Disabled persons are encouraged to apply. For further information, please click the link below to view the EEO Is The Law poster. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. Only qualified individuals who are being considered will be contacted for an interview.

Enrollment Admissions Recruiter for The School of Nursing & Healthcare Professionals (NHP) Salary Range 65k to 80k (Annually) Trinity Washington University seeks an Enrollment Admissions Recruiter for the School of Nursing and Health Professions (NHP) who is sales driven and has knowledge of the healthcare system. This role will build credible relationships among prospective students, families, health care and medical professionals, and community partners, that yield enrollment results. The successful candidate will have healthcare knowledge with previous sales experience, superior interpersonal skills, a commitment to the mission of Trinity, and an understanding of the market. The Enrollment Admissions Recruiter will diligently manage a portfolio of passionate prospects, from inquiry through enrollment working collaboratively with Enrollment Services (Financial Aid, Advising, Student Success, and other offices as needed). The successful candidate will possess a genuine enthusiasm for recruitment work, deploy a creative and personable sales approach, and understand the value of professional collaboration within a student-centered environment. The Enrollment Admissions Recruiter for NHP will recruit and support enrollment goals for new student growth among undergraduate and graduate students. Work closely with a team of highly capable professionals, all committed to the mission of the institution. Desirable candidates will be able to effectively communicate and demonstrate their successful record of relationship management, sales, and stakeholder engagement. Trinity seeks team members with strong communication talents, and an eagerness to develop new relationships as needed to support growth opportunities for the University. This position will report to the Director of Admissions for NHP, and will work collaboratively with Deans and the Associate Vice President of Admissions for Graduate & Professional Schools. About Trinity: Located in the Nation's Capital, Trinity Washington University is a premier, private institution founded in 1897 with 127 years of educational excellence and catholic tradition designed for undergraduate women with graduate, professional, and certificate academic programs for all. Primary Responsibilities: Recruit, steward, and enroll undergraduate and graduate students in the School of Nursing and Health Professions program. Build and manage constituent relationships with healthcare facilities, hospitals, rehabilitation centers, community partners, and community colleges. Develop and execute yield events as needed for the targeted enrollment pipelines. Use data to track enrollment analytics and target efforts for outreach. Produce and provide compelling presentations for multiple constituents to support enrollment growth. Travel to recruitment events (locally and within a nearby radius) to recruit prospective students; actively participate in recruitment events held in person on campus and virtually. Prepare weekly admission reports. Characteristics of successful candidates: Possess knowledge of the healthcare system Strong sales & marketing orientation with demonstrated results Have strong presentation skills Ethical, adhering to high standards of integrity Capable of using data to direct focus/efforts Excellent oral and written communication skills Able to develop a network of relevant relationships Collaborative/Positive team player Highly creative with strong problem-solving skills Commitment to Trinity's mission and strategic goals Bilingual proficiency is highly desired (Spanish) Qualifications: A bachelor's degree is required, Master's degree, is preferred. At least 2 years of successful professional sales-related experience in healthcare is required, College Admissions recruitment experience is preferred. Ability to work a flexible schedule, including evenings and weekends as needed. This position requires driving a personal vehicle on behalf of the university; therefore, the incumbent must possess and maintain a current, valid driver's license. Trinity reimburses mileage and travel expenses. Trinity offers comprehensive and competitive benefits to full-time employees to include Health, Dental & Vision insurance, Employer Paid Life and Disability benefits, 403(b) Retirement plan with employer match up to 6%, Paid Family Leave, Trinity Center Membership Free to all employees to include full size pool, walking track, weight & Cardio equipment, Free campus parking, Free Shuttle bus between campus & Brookland Metro station and more. Trinity Washington University is dedicated to the achievement of excellence and diversity among its students, faculty and staff. Trinity is committed to fostering a diverse and inclusive community and strongly encourages all qualified individuals to apply.

Sign-On Bonus Available & Relocation Assistance Available Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Department: SRMC Inpatient Medical (4-S) Full Time Shift: Nights Work within the nursing process to provide direct nursing care to assigned patients. Serve as a role model to promote a positive work environment and quality patient care. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include Neonate, Pediatric, Adolescent, Adult and Geriatric age groups. PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols * PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes * PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk * POLICIES - Work within Hospitals, Nursing division and departmental policies * CARE PLAN - Work in collaboration with the healthcare team, implement and document individualized care plans incorporating age specific considerations, including discharge planning and patient/family teaching * document and communicate clinical findings * EMERGENCY MEASURES - Assist with or institute emergency measures for sudden, adverse developments in patients * PATIENT CARE - Deliver safe direct care to an assigned group of patients as required * MEDICAL RECORDS - Ensure that patient medical records contain necessary information * INQUIRIES - Answer telephones and triage calls as per departmental policy * upon successful completion of preceptor training assume precepting and evaluation responsibilities of new personnel * PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner * PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right" Program Graduate Bachelor's Degree Nationally Accredited Nursing Graduate Nursing No minimum experience required Bilingual English/Spanish CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days * RN in NM or as allowed by reciprocal agreement by NM * Chemicals, Bio Hazardous Materials req PPE * Tuberculosis testing is completed upon hire and additionally as required Registered Nurse

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. 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.

About the Job The incumbent in this position is responsible for providing competent professional nursing care. Additionally they will assume accountability for coordinating the functions within the Bloodless Medicine Program to include: program planning implementation and development; developing and managing the operational budget and patient outcome performance; collaborating with specialty departments and patient care units regarding all aspects of non-blood management; serving as a liaison between GUH and other facilities physicians and families; and management of all personnel related aspects of the department to include the blood conservation staff. These functions are performed in accordance with all applicable laws and regulations and Georgetown University Hospital's philosophy policies procedures and standards. Schedule Monday through Friday, Days Primary Duties and Responsibilities * CLINICAL PRACTICE * Acts as liaison between patient physician family and staff. * Discusses and documents clinical alternatives acceptable to patient. * Finds and makes appointments with cooperating physicians. * Responsible for ongoing monitoring of patient. * Responsible for the collection of data related to the Bloodless Medicine Program using an approved data collection tool. * COMMUNICATION * Communicates clearly accurately and effectively to peers physicians visitors and other departments to facilitate patient care. * Clarifies forms financial arrangements and Hospital policies to patients and family. * Acts as information resource for medical staff. * LEADERSHIP * Supports unit and organization's goals for the fulfillment of the Bloodless Medicine Program. * Delegates and supervises other nursing staff in rendering patient care in accordance with DC Scope of Practice GUH Policies and Procedures and the American Association of Critical-Care Nurses (AACN) standards. * EDUCATION AND RESEARCH * Participates in educational programs to ensure the appropriate implementation of the Bloodless Medicine Program. * Collaborates with nursing units to mentor and educate staff and promote successful implementation of the Bloodless Medicine Program. * Incorporates research and provides on-going revision to the Bloodless Medicine Program as needed. * Performs other duties and responsibilities that are appropriate to the position and area. The above responsibilities are a general description of the level and nature of the work assigned to this classification and is not to be considered as all-inclusive. Minimal Qualifications Education * Bachelor's degree in Nursing from an accredited nursing program. required * Master's degree preferred Experience * 3-4 years critical care nursing experience required Licenses and Certifications * RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia required Knowledge Skills and Abilities * Ability to perform standard and complex nursing technologies within the critical care environment. * Effective verbal and written communication skills. * Ability to set priorities and work under stress. This position has a hiring range of USD $89,065.00 - USD $162,801.00 /Yr. General Summary of Position The incumbent in this position is responsible for providing competent professional nursing care. Additionally they will assume accountability for coordinating the functions within the Bloodless Medicine Program to include: program planning implementation and development; developing and managing the operational budget and patient outcome performance; collaborating with specialty departments and patient care units regarding all aspects of non-blood management; serving as a liaison between GUH and other facilities physicians and families; and management of all personnel related aspects of the department to include the blood conservation staff. These functions are performed in accordance with all applicable laws and regulations and Georgetown University Hospital's philosophy policies procedures and standards. Schedule Monday through Friday, Days Primary Duties and Responsibilities * CLINICAL PRACTICE * Acts as liaison between patient physician family and staff. * Discusses and documents clinical alternatives acceptable to patient. * Finds and makes appointments with cooperating physicians. * Responsible for ongoing monitoring of patient. * Responsible for the collection of data related to the Bloodless Medicine Program using an approved data collection tool. * COMMUNICATION * Communicates clearly accurately and effectively to peers physicians visitors and other departments to facilitate patient care. * Clarifies forms financial arrangements and Hospital policies to patients and family. * Acts as information resource for medical staff. * LEADERSHIP * Supports unit and organization's goals for the fulfillment of the Bloodless Medicine Program. * Delegates and supervises other nursing staff in rendering patient care in accordance with DC Scope of Practice GUH Policies and Procedures and the American Association of Critical-Care Nurses (AACN) standards. * EDUCATION AND RESEARCH * Participates in educational programs to ensure the appropriate implementation of the Bloodless Medicine Program. * Collaborates with nursing units to mentor and educate staff and promote successful implementation of the Bloodless Medicine Program. * Incorporates research and provides on-going revision to the Bloodless Medicine Program as needed. * Performs other duties and responsibilities that are appropriate to the position and area. The above responsibilities are a general description of the level and nature of the work assigned to this classification and is not to be considered as all-inclusive. Minimal Qualifications Education * Bachelor's degree in Nursing from an accredited nursing program. required * Master's degree preferred Experience * 3-4 years critical care nursing experience required Licenses and Certifications * RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia required Knowledge Skills and Abilities * Ability to perform standard and complex nursing technologies within the critical care environment. * Effective verbal and written communication skills. * Ability to set priorities and work under stress.