Top 235 Patient access supervisor Jobs in Washington, Dc

RN Case Manager
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Nursing
- Microsoft Excel
- RN License
Medical Practice Manager
Metropolitan access —Colmar Manor, MD
- $100,000 - $130,000 a year
- Full-time
- HIPAA
- Mid-level
- Administrative experience
- Health insurance
- Paid time off
Quick Apply
11d
Floor Care Supervisor - (NIH)
Teya Support Services LLC —Bethesda, MD
- Weekends as needed
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Patient Service Supervisor
MedStar Health —Washington, DC
- $59,820 - $101,836 a year
- Full-time
- HIPAA
- Mid-level
- Clinic
7d
Practice Manager - Primary Care (Upper Marlboro)
MedStar Health —Upper Marlboro, MD
- $71,843 - $135,907 a year
- Full-time
- Primary Care
- Mid-level
- High school diploma or GED
Supervisor, Patient Access
Sentara Hospitals —Woodbridge, VA
- Full-time
- Management
- Hospital
- Mid-level
- 403(b) matching
- Paid parental leave
Quick Apply
Office Supervisor (MedStar National Rehab Hospital)
MedStar Health —Washington, DC
- $23.65 - $42.03 an hour
- Full-time
- Mid-level
- Administrative experience
- High school diploma or GED
Supervisor, Patient Access- Emergency Room- Evening Shift
Holy Cross Health —Silver Spring, MD
- $24.12 - $37.43 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Outreach Phlebotomy Supervisor
VHC Health —Arlington, VA
- $25.37 - $41.09 an hour
- Full-time
- Mid-level
- Travel
- Associate's degree
- Health insurance
- Dental insurance
Practice Manager - Physician Services Operating
VHC Health —Arlington, VA
- $70,886.40 - $126,942.40 a year
- Full-time
- Mid-level
- Bachelor's degree
- Business Administration
- Health insurance
- Dental insurance
Electronic Health Records Manager
Community of Hope —Washington, DC
- $90,000 - $100,000 a year
- 8 hour shift
- 5 years
- HIPAA
- Office
- Continuing education credits
- Paid holidays
Lab Supervisor 1
Merck KGaA —Rockville, MD
- $82,400 - $144,500 a year
- Mid-level
- Master's degree
- Bachelor's degree
- Paid holidays
- Disability insurance
9d
Customer Success Manager (Remote)
Sorcero —Washington, DC
- $110,000 - $125,000 a year
- Remote
- Marketing
- 3 years
- Analysis skills
- Paid parental leave
- Health insurance
Site Manager
United Urology Group —Upper Marlboro, MD
- $60,000 - $90,000 a year
- Full-time
- Background check
- Ability to walk for extended periods
- 5 years
- Dental insurance
- Tuition reimbursement
Quick Apply
IRB Manager
US Military Treatment Facilities under DHA —Bethesda, MD
- $102,415 - $133,142 a year
- Online Application
- Background check
- Pass drug screening
- Mid-level
1d
Clinical Management Manager
Accenture —Arlington, VA
- $87,400 - $293,800 a year
- Full-time
- Bachelor's degree
- Travel
- US work authorization
- Paid holidays
- Disability insurance
Rare Cardiac Access Care Manager Northwest
Pfizer —Washington, DC
- $139,100 - $231,900 a year
- Online Application
- Management
- Master's degree
- 8 years
- Paid holidays
- Relocation assistance
7d
Senior Government Affairs Manager
Centene —Washington, DC
- $107,700 - $199,300 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Bachelor's degree
- Paid holidays
- Health insurance
Office Manager-Operations & Security
DuPont Clinic —Washington, DC
- $70,000 a year
- Full-time
- Google Workspace
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Manager, Epic Interoperability & Patient Platforms
VHC Health —Alexandria, VA
- $110,406.40 - $209,768.00 a year
- Full-time
- Computer Science
- Mid-level
- Master's degree
- Health insurance
- Dental insurance

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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

patient access supervisor jobs in washington, dc

RN Case Manager

Medical Practice Manager

Floor Care Supervisor - (NIH)

Patient Service Supervisor

Practice Manager - Primary Care (Upper Marlboro)

Supervisor, Patient Access

Office Supervisor (MedStar National Rehab Hospital)

Supervisor, Patient Access- Emergency Room- Evening Shift

Outreach Phlebotomy Supervisor

Practice Manager - Physician Services Operating

Electronic Health Records Manager

Lab Supervisor 1

Customer Success Manager (Remote)

Site Manager

IRB Manager

Clinical Management Manager

Rare Cardiac Access Care Manager Northwest

Senior Government Affairs Manager

Office Manager-Operations & Security

Manager, Epic Interoperability & Patient Platforms

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