Top 351 Outreach worker Jobs in Washington, Dc

RN Case Manager
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Nursing
- Microsoft Excel
- RN License
Regional Sales Manager East Coast (Remote)
GEHA —Washington, DC
- $81,755 - $103,425 a year
- Full-time
- Marketing
- 5 years
- Bachelor's degree
- AD&D insurance
- Disability insurance
BHAP Outreach Worker
Mary's Center —Washington, DC
- Spanish
- Customer service
- HIPAA
- Paid holidays
- Health insurance
Community Health Worker
Freedmen's Medicine —Washington, DC
- $23.35 - $28.11 an hour
- Full-time
- Experience working with individuals with disabilities
- Public speaking
- Social Work
- Health insurance
- Dental insurance
Quick Apply
3d
Case Manager/Outreach Worker
Collaborative Solutions for Communities —Washington, DC
- $65,000 a year
- Weekends as needed
- Mid-level
- Communication skills
Quick Apply
3d
Community Health Worker
V-Tech Solutions Inc. —Washington, DC
- Contract
- Hybrid work
- High school diploma or GED
- Driver's License
- Data entry
- Mileage reimbursement
Quick Apply
Outreach Worker (HSC)
PathForward —Arlington, VA
- $55,750 a year
- Weekends as needed
- Spanish
- English
- Mid-level
Quick Apply
Community Relations Manager – Home Care Services
Brightstar Care of Washington DC —Washington, DC
- $60,000 - $80,000 a year
- Full-time
- Physical & Rehabilitation Medicine
- Mid-level
- Business development
- Health insurance
- Dental insurance
Quick Apply
14d
Project Outreach Specialist - External Affairs - Washington DC
FirstEnergy Corp —Washington, DC
- $108,800 - $153,600 a year
- Full-time
- Marketing
- 5 years
- Public speaking
- Health insurance
- Dental insurance
COMMUNITY HEALTH OUTREACH WORKER II (Full-Time Contractual)
State of Maryland - MDH Local Health - Somerset County —Somerset, MD
- $18.22 - $22.16 an hour
- Online Application
- Military
- High school diploma or GED
- Driver's License
- AD&D insurance
- Dental insurance
Research Associate - Health Care and Public Health Program
The National Academies —Washington, DC
- $56,410 - $70,510 a year
- Full-time
- Mid-level
- Office
- Analysis skills
- Paid holidays
- Disability insurance
Homeless Street Outreach Manager
The h3 Project —Washington, DC
- $55,000 - $60,000 a year
- Weekends as needed
- Bilingual
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
2d
Host/Hostess
MedStar Health —Washington, DC
- $18.40 - $29.74 an hour
- Part-time
- Hospital
- Computer literacy
- High school diploma or GED
8d
Community Outreach Specialist (Social Worker)
Viva Benefits —Alexandria, VA
- $20 - $35 an hour
- Part-time
- Spanish
- English
- Case management
- Travel reimbursement
Quick Apply
2d
ADA Driver/Outreach Worker
United Planning Organization —Washington, DC
- $19.67 an hour
- Weekends as needed
- Spanish
- CPR Certification
- Microsoft Outlook
Federal Workforce Career Center Program Coordinator
WorkSource Montgomery Inc —Silver Spring, MD
- $31.25 - $36.04 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- Office
- Administrative experience
- Paid holidays
- Disability insurance
Quick Apply
7d
Publications Associate
Resources for the Future (RFF) —Washington, DC
- $56,500 - $62,000 a year
- Microsoft Excel
- Microsoft Outlook
- Marketing
Case Worker
Fire & Emergency Medical Svs —Washington, DC
- $54,183 - $69,770 a year
- Full-time
- Mid-level
- Office
- Driver's License
10d
Communications Coordinator
Howard University —Washington, DC
- $62,000 - $72,000 a year
- Full-time
- Marketing
- Research
- Mid-level
- 403(b) matching
- Commuter assistance
Technology Support Specialist - Service Desk (Fixed-Term)
National Geographic Society —Washington, DC
- $29.69 - $31.25 an hour
- Weekends as needed
- Mid-level
- Office
- Bachelor's degree
- Wellness program
- Commuter assistance

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RN Case Manager

MedStar Health -
Washington, DC

Apply Now

Job Details

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

Qualifications

RN License
Managing patients as a nurse case manager
Utilization management
Decision making
Patient care
Resource utilization in healthcare
Negotiation

Full Job Description

About this Job:

General Summary of Position

Coordinates negotiates procures and manages care of our members/enrollees to facilitate cost effective care and members/enrollees satisfaction. Facilitates the continuum of care works collaboratively with interdisciplinary staff internal and external to the organization. Responsible for carrying a complex case management case load ownership of a case management program(s) pre- authorization reviews to provide Medically Necessary timely and quality health care services in the most cost-effective manner and pharmacy reviews per population served. This role would include the ability to meet memebers in their homes or various community settings. We recruit retain and advance associates with diverse backgrounds skills and talents equitably at all levels.

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.
Actively develops and manages complex case management cases and develops individualized plans of care according to NCQA standards/ guidelines and the District of Columbia Contract.
Acts as a liaison to MedStar Family Choice contracted vendors to facilitate care. Identifies gaps in contracted services and develops a plan to access care.
Acts as an advocate while assisting members/enrollees to coordinate and gain access to medical psychiatric psychosocial and other essential services to meet their healthcare needs. Authorizes and monitors covered services according to policy.
Assists hospital case management staff with discharge planning if applicable. Makes recommendation to alternate tier of Case Management programs or level of care as acuity necessitate.
Attends and participates in MFC staff meetings Clinical Operations department meetings Special Needs Forums work groups District/ community agencies meetings etc. as assigned. Provides input completes assignments and shares new findings with other staff. 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.
Provides face to face case management in the community as the member/enrollee's health necessitate.
Demonstrates behavior consistent with MedStar Health mission vision goals objectives and patient care philosophy.
Demonstrates skill and flexibility in providing coverage for other staff.
For assigned Case Management program(s) develops strategies assessment(s) and evaluation/goal tools according to NCQA standards/ guidelines and District of Columbia Contract for the population served. Utilizes standards/ guidelines to manage and document interactions for the program (s). Responsible for verifying that assigned program utilizes up-to-date standards in the medical and behavioral health community for the population served. Keeps informed about disease processes treatment modalities and resources.
Identifies and reports potential coordination of benefits subrogation third party liability worker's compensation cases etc. Identifies quality risk or utilization issues to appropriate MedStar personnel.
Identifies inpatients requiring additional services and initiates care with appropriate practitioners.
Maintains current knowledge of MFC benefits and enrollment issues in order to accurately coordinate services.
Maintains timely and accurate documentation in the clinical software system per Clinical Operation department's policy.
Monitors utilization of all services for fraud waste and abuse.
Performs telephonic ACD line coverage for Clinical Operations' needs.
Enters authorization as appropriate to the program and sends the reviews to Medical Director as appropriate. Coordinates review decisions and notifications per policy NCQA standards/ guidelines and District of Columbia Contract for timely decision making.
Participates in meetings and on committees and represents the department and hospital in community outreach efforts.
Participates in multi-disciplinary quality and service improvement teams.

Minimal Qualifications
Education

Graduate of an accredited School of Nursing required and
Bachelor's degree preferred

Experience

1-2 years Case management experience required and
1-2 years UM or related 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/or the State of Maryland based on work location(s) Upon Hire required and
CCM - Certified Case Manager Upon Hire preferred

Knowledge Skills and Abilities

Verbal and written communication skills. Ability to use computer to enter and retrieve data. Ability to create edit and analyze Microsoft office (Word Excel and PowerPoint) preferred.

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

Apply Now

Refine Your Search

outreach worker jobs in washington, dc

RN Case Manager

Regional Sales Manager East Coast (Remote)

BHAP Outreach Worker

Community Health Worker

Case Manager/Outreach Worker

Community Health Worker

Outreach Worker (HSC)

Community Relations Manager – Home Care Services

Project Outreach Specialist - External Affairs - Washington DC

COMMUNITY HEALTH OUTREACH WORKER II (Full-Time Contractual)

Research Associate - Health Care and Public Health Program

Homeless Street Outreach Manager

Host/Hostess

Community Outreach Specialist (Social Worker)

ADA Driver/Outreach Worker

Federal Workforce Career Center Program Coordinator

Publications Associate

Case Worker

Communications Coordinator

Technology Support Specialist - Service Desk (Fixed-Term)

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