Top 113 Rn Utilization Management Jobs in Fairfax, VA

Trainer Clinical Operations MedStar Family Choice DC
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Background check
- Nursing
- RN License
Quick Apply
RN In Hospital Transition of Care Case Manager
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Nursing
- Microsoft Excel
- Psychiatry
Quick Apply
Control Desk Coordinator RN PM Shift
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Nursing
- Surgery
- RN License
RN In Hospital Transiton of Care Case Manager
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Background check
- Nursing
- Microsoft Excel
Quick Apply
Clinical Administrator (RN)
MedStar Health —Washington, DC
- $99,931 - $152,280 a year
- Weekends as needed
- Nursing
- Microsoft Excel
- RN License
Registered Nurse (RN) Outpatient Behavioral Health
Inova Health System —Sterling, VA
- 8 hour shift
- Hybrid work
- Nursing
- RN License
- Computer literacy
- Wellness program
- Paid parental leave
Remote Triage Nurse
GPW Health Center Inc —Woodbridge, VA
- $25.75 - $32.62 an hour
- Full-time
- Remote
- Bilingual
- Nursing
- RN License
- Health savings account
- Paid holidays
Quick Apply
RN Team Lead Utilization Review
MedStar Health —Clinton, MD
- $89,065 - $162,801 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Hospital
Quick Apply
RN Case Manager
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Nursing
- Microsoft Excel
- RN License
Clinic Nurse
George Mason University —Fairfax, VA
- Part-time
- Nursing
- RN License
- BLS Certification
Clinical Reviewer DC
Comagine Health —Washington, DC
- $93,000 - $104,000 a year
- Full-time
- Hybrid work
- RN License
- Writing skills
- Mid-level
- Paid parental leave
- Health insurance
Quick Apply
Nurse Case Manager
Battelle —Arlington, VA
- Full-time
- Hybrid work
- Nursing
- RN License
- BLS Certification
- Wellness program
- Health insurance
Nurse CARE Manager, Wellness Center & Case Management
Marriott International, Inc —Bethesda, MD
- $84,000 - $147,500 a year
- Full-time
- CPR Certification
- Nursing
- Medication administration
- Commuter assistance
- Paid parental leave
3d
Case Management Program Manager (Registered Nurse OR Social Worker)
Inova Health System —Alexandria, VA
- Full-time
- Nursing
- RN License
- Hospital
- Wellness program
- Paid parental leave
Manager Case Management (Registered Nurse or Social Worker)
Inova Health System —Falls Church, VA
- Full-time
- Master of Social Work
- Nursing
- RN License
- Wellness program
- Paid parental leave
Registered Nurse (RN) Case Manager 1
Inova Health System —Leesburg, VA
- Part-time
- Nursing
- RN License
- BLS Certification
- Wellness program
- Paid parental leave
Case Manager II
Children's National Hospital —Washington, DC
- $87,172.80 - $145,267.20 a year
- Weekends as needed
- Nursing
- RN License
- Customer service
- Commuter assistance
- AD&D insurance
Inpatient Case Manager RN
Sentara Northern Virginia Medical Center (legal name: Potomac Hospital Corporation of Prince William) —Woodbridge, VA
- Full-time
- Nursing
- Doctoral degree
- Surgery
- 403(b) matching
- Paid parental leave
Quick Apply
12h
RN Supervisor, Appeals, Managed Care, UM
Centene —Washington, DC
- $75,300 - $135,400 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
6d
RN Case Manager Hybrid I/II
Children's National Hospital —Washington, DC
- $77,584.00 - $129,292.80 a year
- Full-time
- Nursing
- RN License
- 3 years
- Commuter assistance
- AD&D insurance

I want to receive the latest job alert for Rn Utilization Management in Fairfax, VA

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Rn Utilization Management jobs near Fairfax, VA

Senior Case Manager jobs in Washington, DC

Registered Nurse Case Manager jobs in Washington, DC

Nursing Supervisor jobs in Washington, DC

Nurse Manager jobs in Alexandria, VA

Clinic Administrator jobs in Washington, DC

Case Manager jobs in Arlington, VA

Case Manager jobs in Woodbridge, VA

Case Manager jobs in Bethesda, MD

Utilization Review Nurse jobs in Clinton, MD

Senior Case Manager jobs in Lincoln, RI

Senior Case Manager jobs in La Mesa, CA

Senior Case Manager jobs in Columbus, OH

Courtyard Luxury Senior Living jobs in Clinton, NJ

Production Manager jobs in Atlanta, GA

Case Manager jobs in California

Case Manager jobs in Fort Collins, CO

Senior Case Manager jobs in Rockport, TX

Registered Nurse Case Manager jobs in Boston, MA

Registered Nurse jobs in Chesterfield, VA

Registered Nurse Case Manager jobs in Valdosta, GA

Trainer Clinical Operations MedStar Family Choice DC

MedStar Health -
Washington, DC

Quick Apply

Job Details

Full-time
$89,065 - $162,801 a year

Qualifications

Computer operation
Utilization review
RN License
Clinical case management
Clinical staff training
Bachelor's degree
Data entry
Bachelor's degree in nursing
Healthcare software applications

Full Job Description

About this Job: General Summary of Position
The trainer Clinical Operations MFC DC is a critical role that ensures the success of our newly hired RN Case Managers Case Manager Social Workers and other members of the Case Management / Clinical Operations staff. This associate will be responsible for the onboarding and ongoing training of our staff using a standard curriculum that adheres to state and other regulatory requirements. Working with Case Management Leadership this trainer will develop and maintain the curriculum for the Case Management / Clinical Operations department. Associate training will be conducted in person and virtual. The Trainer will have impact across MFC DC and Maryland health plan. The trainer will utilize performance data to determine training effectiveness and areas for improvement and share summary of findings with clinical leaders and Quality Improvement Committee (QIC). The trainer will maintain current knowledge about NCQA contract requirements healthcare / industry trends District regulations and other compliance standards.The trainer will assist with audits of staff documentation and their adherence to department processes and policies.

Primary Duties and Responsibilities

Demonstrates behavior consistent with MedStar Health mission vision goals objectives and patient care philosophy.
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.
Maintains current knowledge of MedStar Family Choice benefits and services available for enrollees.
Develops and maintains a curriculum workflow and processes for each role in Clinical Operations and ensure staff adhere to organizational standards and best practices.
Develops and maintains orientation and training schedule.
Offers personalized guidance and support to clinical operations team to improve performance and skill building.
Conducts ad hoc training to support staff with identified challenges with adhering to workflows and processes.
Conducts assessments to identify gaps in knowledge or skills among staff and provide written feedback to the clinical leaders.
Develops and leads quality improvement initiatives to enhance staff performance and clinical outcomes.
Develops and utilizes reports to share data on training activities participant feedback and performance improvements strategies then share with clinical leaders.
Monitors staff compliance with annual and ad hoc mandatory trainings.
Organizes and maintains a repository that houses training materials schedules etc.
Maintains current knowledge about NCQA contract requirements healthcare / industry trends District regulations and other compliance standards
Assists with audits of staff documentation and their adherence to department processes and policies.
Demonstrates proficiency with all MedStar Family Choice software systems that support the clinical operation.
Participates in evaluating and updating of the software systems to improve efficiencies and productivity.
Participates and contribute to meetings (staff meetings committee meetings etc.).
Uses performance data to determine training effectiveness and areas for improvement and shares summary of findings with clinical leaders and Quality Improvement Committee (QIC).

Minimal Qualifications
Education

Bachelor's degree in Nursing required

Experience

1-2 years Case Management and utilization review experience required and
1-2 years Training experience required and
3-4 years diverse clinical experience required

Licenses and Certifications

RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid RN license in the District of Columbia and Maryland Upon Hire required

Knowledge Skills and Abilities

Skilled in planning executing and evaluating educational gaps and developing performance improvement initiatives
Possess exceptional interpersonal and communication skills
Knowledge of current trends in healthcare delivery and Case Management / utilization review criteria
Ability to use computer to enter and retrieve data.
Ability to create edit and analyze (Word Excel and PowerPoint) preferred
Demonstrate proficiency with all MedStar Family Choice software systems that support the clinical operation.
Be skilled in planning executing and evaluating educational gaps and developing performance improvement initiatives
Possess exceptional interpersonal and communication skills.

This position has a hiring range of : USD $89,065.00 - USD $162,801.00 /Yr.

Work Location: In person

Quick Apply

Refine Your Search

Rn Utilization Management jobs in Fairfax, VA

Trainer Clinical Operations MedStar Family Choice DC

RN In Hospital Transition of Care Case Manager

Control Desk Coordinator RN PM Shift

RN In Hospital Transiton of Care Case Manager

Clinical Administrator (RN)

Registered Nurse (RN) Outpatient Behavioral Health

Remote Triage Nurse

RN Team Lead Utilization Review

RN Case Manager

Clinic Nurse

Clinical Reviewer DC

Nurse Case Manager

Nurse CARE Manager, Wellness Center & Case Management

Case Management Program Manager (Registered Nurse OR Social Worker)

Manager Case Management (Registered Nurse or Social Worker)

Registered Nurse (RN) Case Manager 1

Case Manager II

Inpatient Case Manager RN

RN Supervisor, Appeals, Managed Care, UM

RN Case Manager Hybrid I/II

I want to receive the latest job alert for Rn Utilization Management in Fairfax, VA

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected