Associate's or Bachelor's in Nursing

Candidates need to live in the following areas:
1. Culpeper VA
2. Herndon, Sterling, Reston
3. Arlington, Alexandra

Description:

Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follows through with continuous quality/ compliance opportunities .

May also include identification of aberrance's and initiation of corrective action

Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy

Optimize total costs Implementation and evaluation of policy based on usage and program directives Educate/empower colleagues at all levels to enable decision making at most appropriate level

Required Qualifications:
RN with current unrestricted Virginia state licensure required.
3 years clinical experience (for example med surg or behavioural health)
Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.
Effective communication skills, both verbal and written.

Preferred Qualifications:
Managed Care experience, Case Management experience in an integrated model
5 years clinical practice experience
Bilingual

Education

RN with VA current unrestricted Virginia state licensure required.
Associate's or Bachelor's in Nursing