RN Team Lead Utilization Management
5 days ago
The RN Team Lead in Utilization Management at MedStar Family Choice oversees case management operations, collaborating with interdisciplinary teams to ensure quality patient care and compliance with healthcare regulations. This role includes providing leadership, training, and support to staff, while developing individualized care plans and monitoring services according to established guidelines. Additionally, the position takes responsibility for departmental workflows and engages in community outreach to promote efficient healthcare delivery.
General Summary of Position
Works collaboratively with the manager to assist with implementation, integration and operational direction of the Case Management Department within the MedStar Family Choice (MFC). Facilitates the continuum of care, works collaboratively with the interdisciplinary staff, both internal and external to the organization.
We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- Associate's degree in Nursing required and
- BSN preferred
Experience
- 5-7 years Diverse clinical experience required and
- 3-4 years For utilization management (UM), 3 years UM concurrent review experience; for case management (cm), 3 years CM experience required and
- Leadership experience preferred
Licenses and Certifications
- Valid RN license in Maryland, Virginia, District of Columbia required or
- any combination as required based on work location(s). required and
- Certified Case Manager (CCM) certification preferred
Knowledge, Skills, and Abilities
- Ability to use computer to enter and retrieve data.
- Working knowledge of Microsoft Word, Excel, and PowerPoint applications.
- Effective verbal and written communication skills.
- Must be able to run and analyze departmental productivity reports.
- Excellent interpersonal skills required.
This position has a hiring range of $87,318 - $157,289
Keywords:
RN Team Lead, Utilization Management, Case Management, Healthcare, Patient Care, Interdisciplinary Collaboration, Quality Assurance, Regulatory Compliance, Healthcare Leadership, Telephonic Case Management
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