Specialized Jobs in Usa

Summary

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  JOB SUMMARY/PURPOSE
  
  
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    Assists with the administrative functions of the Pharmacy department including scheduling, presentation preparation, special project management, correspondence and communication facilitation. Fills in as a pharmacy technician as needed.
    
    
  
  
  
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  DEPARTMENT DESCRIPTION
  
  
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    Pharmacy Administration provides leadership and direction to the various pharmacy departments and programs at SHS. These include inpatient and outpatient pharmacies, Medication Management and pharmacy residency programs as well as 340B operations. We are staffed with seasoned pharmacists and technicians who help optimize pharmaceutical care throughout our SHS service area.
    
    
  
  
  
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  EXPERIENCE/EDUCATION/QUALIFICATIONS
  
  
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    High school diploma or equivalent required.
    
    
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    One (1) of the following required:
    
    
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      Oregon Pharmacy Technician license required.  Oregon Certified Pharmacy Technician license required within two (2) years of hire.
      
      
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      Currently enrolled first year PharmD student in good standing with an accredited pharmacy school and current unencumbered Oregon Board of Pharmacy Intern license.
      
      
    
    
    
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    Successful completion of Medical Pharmacy Technician course preferred.
    
    
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    All job offers are contingent upon the candidate passing a pre-employment/post offer drug screen.
    
    
  
  
  
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  KNOWLEDGE/SKILLS/ABILITIES
  
  
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    Communication - Effective written and oral communication skills to explain complex issues, exchange information between team members, and tactfully discuss issues. Ability to perform group presentations and listen to and understand complex information and ideas. 
    
    
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    Computer Literacy - Knowledge of electronic equipment and computer hardware, software, and applications. Ability to operate applications, enter data, and process information.

    
    
    
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    Customer Service - Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services and evaluation of customer satisfaction. 
    
    
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    Mathematics - Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
    
    
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    Time Management - Ability to organize, plan and prioritize work to complete within required time frames and to follow-up on pending issues. Ability to perform multiple tasks simultaneously and thrive in dynamic fast-paced environments and under pressure.
    
    
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    Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology. 
    
    
  
  
  
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  PHYSICAL DEMANDS
  
  
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    (1 - 10% of the time)

    
    
    

    Occasionally
    
    (11 - 33% of the time)

    
    
    

    Frequently
    
    (34 - 66% of the time)

    
    
    

    Continually
    
    (67 – 100% of the time)

    
    
    

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    ENTER & EXIT VEHICLE/MACHINERY

    
    
    

    LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs

    
    
    

    LIFT (Knee to chest: 24"-54") 0 – 20 Lbs

    
    
    

    WALK – LEVEL SURFACE

    
    
    

    CARRY 1-handed, 0 - 20 pounds

    
    
    

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    CARRY 2-handed, 0 - 20 pounds

    
    
    

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    LIFT (Waist to Eye: up to 54") 0 - 20 Lbs

    
    
    

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    MANUAL DEXTERITY Hands/wrists

    
    
    

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Inizio Engage is seeking a Pharmacist in Charge (PIC) to lead and oversee the operations of a non-dispensing commercial pharmacy supporting Inizo’s HUB services solution.   This leadership role is responsible for ensuring full regulatory compliance, operational excellence, and clinical integrity across pharmacy-related program services.

As PIC, you will serve as the designated pharmacist responsible for compliance with all applicable state and federal pharmacy regulations, oversight of pharmacy-related workflows, and direct engagement with clients to support program implementation, performance, and quality standards.

This role includes close coordination and partnership with Inizio’s Non-Dispensing Pharmacy and Patient HUB services, client stakeholders, and cross-functional teams.   This is a highly visible leadership position requiring strong regulatory expertise, operational oversight, and the ability to collaborate in a dynamic, client-facing environment.

Location Requirement: Candidates must reside within the Louisville, KY metropolitan area. This is an onsite position, Monday through Friday.
Licensure Requirement: Active, unrestricted pharmacist licenses in both Kentucky and California are required.

What’s in it for you?

• Competitive compensation
• Excellent benefits – accrued time off, medical, dental, vision, 401(k), disability & life insurance, paid maternity and paternity leave
• Employee discounts & exclusive promotions
• Recognition programs, contests, and company-wide awards
• Exceptional, collaborative culture
• Best Places to Work in BioPharma (2022, 2023, & 2024)
• Certified Great Place to Work (2022, 2023, 2025)

What will you be doing?

• Serve as the designated Pharmacist in Charge for the non-dispensing commercial pharmacy, ensuring compliance with all applicable state and federal regulations.
• Maintain accountability for pharmacy licensure, regulatory inspections, audits, policies, procedures, and recordkeeping requirements.
• Oversee pharmacy-related HUB services, ensuring adherence to established business rules, clinical standards, and client program requirements.
• Partner with HUB leadership to ensure program performance meets or exceeds established Service Level Agreements (SLAs) and quality metrics.
• Coordinate closely with patient HUB teams to ensure accurate prescription intake, benefits verification alignment, clinical review workflows, and compliant case documentation.
• Serve as a pharmacy subject matter expert in client meetings, audits, business reviews, and implementation discussions.
• Provide consultative support to prescribers, patients, caregivers, and internal teams as appropriate within a non-dispensing model.
• Oversee pharmacy staff and technician activities, ensuring appropriate supervision, workflow integrity, and regulatory adherence.
• Ensure appropriate documentation, reporting, quality assurance, and security protocols are consistently followed.
• Lead continuous quality improvement initiatives and maintain readiness for board of pharmacy inspections and client audits.
• Maintain confidentiality of patient and program information in accordance with HIPAA and other regulatory standards.
• Support business growth initiatives, including licensing in additional states as required.

What do you need for this position?

• B.S. Pharm or PharmD from an accredited school of pharmacy
• Minimum 5+ years of pharmacy experience, including leadership and regulatory oversight responsibilities
• Prior experience as Pharmacist in Charge (PIC) or comparable pharmacy leadership role strongly preferred
• Active, unrestricted pharmacist licenses in both Kentucky and California (required)
• Additional state pharmacist licenses strongly preferred
• Strong knowledge of multi-state pharmacy regulations, non-dispensing pharmacy requirements, and compliance frameworks
• Experience supporting specialty pharmacy, HUB services, or commercial pharmaceutical programs preferred
• Demonstrated experience interacting with clients and participating in audits or business reviews
• Proven leadership and team management skills
• Excellent written and verbal communication skills
• Ability to work onsite in the Louisville, KY metropolitan area
• Ability to obtain additional state licensure as directed by the business

About Inizio Engage 

 
Inizio Engage is a strategic, commercial, and creative engagement partner that specializes in healthcare. Our passionate, global workforce augments local expertise and diverse mix of skills with data, science, and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with their patients, payers, people and providers to improve treatment outcomes. Our mission is to partner with our clients, improving lives by helping healthcare professionals and patients get the medicines, knowledge and support they need.  

We believe in our values: We empower everyone/We rise to the challenge/We work as one/We ask what if/We do the right thing, and we will ask you how your personal values align to them. 

To learn more about Inizio Engage, visit us at:    

Inizio Engage is proud to be an equal opportunity employer. Individuals seeking employment at Inizio are considered without regards to age, ancestry, color, gender, gender identity or expression, genetic information, marital status, medical condition (including pregnancy, childbirth, or related medical conditions), mental or physical disability, national origin, protected family care or medical leave status, race, religion (including beliefs and practices or the absence thereof), sexual orientation, military or veteran status, or any other characteristic protected by federal, state, or local laws. Further, pursuant to applicable local ordinances, Inizio will consider for employment qualified applicants with arrest and conviction records. 

Inizio Engage is an equal opportunity employer M/F/V/D. We appreciate your interest in our company, however, only qualified candidates will be considered. 

Greenwood and Abbeville counties

As a Home Health Registered Nurse, you will:

• Provide skilled nursing care to patients, working onsite in their homes, including administering medications, performing wound care, and conducting patient assessments.
• Develop and implement individualized care plans in collaboration with physicians and other healthcare professionals.
• Monitor patients' conditions and report changes.
• Educate patients and their families on disease management, medication, and treatment options.
• Maintain accurate records of patient care and coordinate with other healthcare professionals.
• Report patient care and condition progress to patient's physician and Clinical Manager.
• Oversee the work of Home Health Aides and monitor their appropriate completion of documentation.

Required Qualifications:

• Diploma, Associate or Bachelor's Degree in Nursing

• Med surg, ICU, ER, or acute experience

• Current and unrestricted Registered Nurse licensure

• Current CPR certification

• Experience collaborating with a team of healthcare professionals

• Valid driver's license, auto insurance and reliable transportation

Preferred Qualifications:

• One year nursing experience

• Home Health experience

Pay Range
•    $49.00 - $69.00 pay per visit/unit
•    $77,200 - $106,200 per year base pay
 

Additional Information

TB Statement:

This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Driving Statement:

This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Scheduled Weekly Hours

Pay Range

Description of Benefits

​
Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

As a Home Health LPN, you will:

• Provide skilled nursing care to patients, working onsite in their homes, under the direction of an RN.
• Implement individualized care plans in collaboration with the patient, family, and healthcare team.
• Educate patients and their families on disease management, treatment options, and self-care techniques.
• Maintain accurate records of patient care, including documentation of patient visit, interventions, and outcomes.
• Maintain contact with patients, physicians, clinical manager(s), and other members of the healthcare team promptly regarding patient or family needs and status changes. Participate in care coordination activities and discharge planning.

Required Qualifications:

• Current nursing license in the practicing state

• Valid drivers license, auto insurance and reliable transportation

• Current CPR certification

• Two years experience as an LPN/LVN in a clinical setting

Preferred Qualifications:

• Nursing experience in a Home Health or Hospice setting

Pay Range
•    $33.00 - $47.00 pay per visit/unit
•    $53,000 - $73,000 per year base pay

Additional Information

TB Statement:

This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Driving Statement:

This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Scheduled Weekly Hours

Pay Range

Description of Benefits

​
Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) | Full-Time 

Starting Pay: $28.00 - $30.00 per hour 

Start your next nursing chapter earning $28.00 - $30.00/hour while providing hands-on care and support to individuals with intellectual and developmental disabilities in a community-based setting.

Looking for a nursing role where you can truly make an impact?

As a Licensed Practical Nurse (LPN) with our team, you will provide hands-on care and medical support to individuals with intellectual and developmental disabilities, brain injuries, and behavioral health needs in a supportive, community-based setting.

This role is ideal for nurses who value meaningful relationships with the people they care for and want a position where their work directly improves quality of life.

What You'll Do

As an LPN/LVN, you will play an important role in supporting the health and well-being of individuals served.

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• Monitor the health conditions and ensure quality nursing care is delivered 
  
• Administer medications and maintain accurate medical documentation 
  
• Oversee and support staff responsible for medication administration
  
• Provide treatments and personal care according to physician orders  
  
• Conduct health assessments and implement care within each Individual Service Plan (ISP)  
  
• Recognize and respond to changes in health conditions
  
• Train staff on infection control, universal precautions, and medication administration 
  
• Coordinate care with physicians, healthcare providers, and external agencies 
  
• Educate individuals served on health topics such as self-medication and prescribed treatments 
  

Qualifications:

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• Associate’s Degree in Nursing or related field, or state certificate
  
• Active LPN/LVN license in the state of Missouri
  
• At least one year of experience working with the population served in a nursing capacity 
  
• Valid driver's license, car registration, and auto insurance
  
• Other certifications as required by state licensing regulations such as CPR/FA and HIV/AIDS certification, BBP, and ACT training
  
• Ability to effectively communicate with staff, individuals served, and families
  

Why Join Us?

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• Starting pay of $28.00 - $30.00 per hour 
  
• Full benefits package for full-time employees
  
• Paid time off and holiday pay
  
• 401(k) with company match
  
• Supportive team environment where your work truly matters
  
• Job stability with real advancement opportunities nationwide
  

Make a meaningful impact while building a rewarding nursing career with a team dedicated to helping others live their best lives. – Apply Today!

#LI-DVS

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face.

We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S.

As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law. 

We're looking for Neonatal Intensive Care Unit RNs for an immediate travel nurse opening in Bryn Mawr, PA. The right RN should have 1-2 years' recent acute care experience. Read below for more requirements.

As a NICU RN, you'll provide critical care to sick and premature infants. Alongside the rest of the care team, NICU RNs assist in providing round-the-clock care to these patients and support to the parents. Parental support can range from emotional encouragement to advising parents on the proper care of their infant when they return home.

As a NICU Travel Nurse, you should be prepared to perform the following tasks:

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• Care for infants transitioning to extra uterine life.
  
• Monitor vital signs and initiate corrective action when necessary.
  
• Provide nutritional assessment and specialized feedings.
  
• Change dressings, insert catheters, start IVs.
  
• Provide arterial and intravenous therapy.
  
• Monitor and adjust specialized equipment used on patients, such as incubators and ventilators.
  

General Summary of Position
The Senior Director of Nursing Operations and Patient Care Services is an active member of MedStar Health entity-based Division of Nursing's (DON) leadership/management team and is responsible for multiple defined areas of organized nursing services (clinical or administrative general or specialized). Maintains and demonstrates current knowledge of healthcare organizations and clinical practice providing leadership and expertise to professional nursing practice and the provision of quality healthcare delivery. Creates and facilitates a learning environment and atmosphere of participative management within the framework of collaborative governance and shared decision-making. Contributes to the DON strategic plan and annual goals and is accountable for the implementation and attainment of these goals within the defined areas of responsibility. Promotes a culture in practice to assure the MedStar Health/hospital/entity mission of a Patient First environment and SPIRIT Values enhances productivity role engagement and job satisfaction. The Senior Director of Nursing Operations and Patient Care Services is a Department Leader who assumes 24-hour administrative and leadership authority and responsibility for the management and direction of the operational personnel and financial activities of the specified division units or procedural areas. These functions are coordinated with the Executive Staff Hospital Leadership Medical Staff and others and are performed in accordance with all applicable laws and regulations and MedStar Health and entity's mission vision and values.

Primary Duties and Responsibilities

• Formulates implements and interprets the philosophy objectives strategic plan goals standards of practice policies and procedures for the division of nursing. Assumes leadership for the planning development execution day-to-day operations and ongoing evaluation of patient care services within the assigned clinical areas/departments according to MedStar Health/entity mission vision and SPIRIT Values and Nursing's philosophy strategic plan and annual goals.
• Plans directs monitors and evaluates the nursing and patient care delivery systems to ensure the care performed exemplifies the Professional Nursing Practice Model; promotes continuous consistent efficient and accountable delivery of patient/family care; and adheres to the State Nursing Practice Act regulatory ethical and accreditation standards and organizational/departmental policies and procedures.
• Demonstrates responsibility for fiscal planning/financial management budget-related operational issues and oversight through advocacy budget development and allocation of resources. Engages in ongoing budgetary/productivity monitoring adherence to prescribed annual budget and assurance of adequate availability of personnel and other necessary resources to support the delivery of safe patient care and realization of organizational goals.
• Collaborates with senior leaders (system and entity-based) in strategic planning program development and execution of entity and divisional goals. Demonstrates accountability for quality safety and performance measures including nursing sensitive outcomes associate engagement and patient/family experience of care for areas/units of responsibility. Provides reports and statistical data related to the functioning of Nursing.
• Applies principles of cost effectiveness in resource utilization high reliability organization and culture of patient and associate safety. Upholds ethical principles and corporate compliance standards. Evaluates care incorporates quality improvement and patient experience data into departmental goals and implements appropriate changes improvements and action plans.
• Applies contemporary performance improvement frameworks and process improvement strategies in the development and implementation of priorities that ensure the achievement and sustainment of optimal clinical financial and administrative outcomes. Participates in capacity management patient throughput and other efforts to reduce patient length of stay. Collaborates with physician leaders and other departments/disciplines to facilitate timely patient's discharge and effective execution of strategic priorities.
• Acts as a liaison to hospital administration and as a nurse leader of entity-wide initiatives including service excellence quality and safety patient/family-centered care and patient experience. Collaborates with medical staff leaders physicians/providers and other associates to champion patient care and quality services that support optimal patient care outcomes promote success in the interdisciplinary model of care (IMOC) and its standards of excellence and demonstrate effective application of Contemporary Primary Nursing (CPN).
• Ensures that Magnet Recognition/Pathway to Excellence program structure and processes are implemented and maintained. Promotes and/or participates in evidence-based practice research activities performance improvement taskforces and collaborative governance councils. Serves as an agent of change assisting associates and other leaders in understanding the importance necessity impact and process of change and change management.
• Develops and implements recruitment and retention strategies. Participates in workforce/human resources planning management and employment decisions directly or through delegation to clinical managers/patient care directors/unit-based nurse leaders. Key activities include but not limited to interviewing hiring scheduling evaluating and terminating associates. Maintains ongoing communication with subordinates to review programs discuss new developments and exchange information.
• Directs the activities of professional and support personnel within assigned area(s). Establishes mechanisms/action plans that provide for the early identification and mentoring of aspiring clinicians and associates with leadership potential for succession planning opportunities and career coaching based on individual strengths and development needs; provides appropriate resources to meet identified needs.
• Develops standards of performance conducts performance management planning and manages individual performance through rewards recognition provision of timely feedback counseling and disciplinary action.
• Determines current and future supply and demand of professional nurses and support/care associates to meet the needs of nursing and patient care delivery. Collaborates with nursing academic partners to ensure a qualified nursing workforce for the future and serves on academic advisory councils as appropriate.
• Supports designs and monitors the development and implementation of entity-wide patient and associate safety initiatives. Involves associates in the development and implementation of patient/family-centered care. Creates a practice environment that fosters a high level of patient engagement and satisfaction as demonstrated by patient experience outcomes data.
• Communicates with patients their families and significant others while upholding patient's confidentiality and bill of rights. Acts as resource for associates in dealing with patient/family issues; investigates and follows through on customer complaints.
• Collaborates with supply chain leaders to ensure that adequate supplies are available for safe and quality patient care delivery. Communicates new material and supply needs to materials managers. Supports the procurement implementation and adoption of information systems technology and equipment and participates in product selection and evaluation as appropriate.
• Oversees the development of unit-based specific orientation preceptor programs and competencies for all personnel including nurse leaders. Delegates tasks as appropriate. Supports the design and implementation of new programs such as training and education programs to ensure the highest quality care delivery and customer satisfaction. Ensures compliance with competency-based practice.
• Participates in hospital/entity and system-wide collaborative committees task forces interdisciplinary forums quality and performance and service improvement teams. Chairs or co-chairs key action teams charged with the design and implementation of initiatives such as system nursing annual goals evidence-based guidelines standards of care or expansions of services or clinical programs.
• Promotes a public image of excellence and professional nursing through marketing activities communication presentations and publications. Represents the Division of Nursing at professional organizations academic partners community outreach programs and as a member of local/regional or national committees.
• Maintains knowledge of current trends and developments in the fields of nursing and health care through a variety of professional activities including but not limited to reading the appropriate literature and attending related seminars and conferences. Demonstrates accountability for own professional development and advancement.
• Assumes administrative responsibilities in absence of the Vice President of Nursing/Chief Nursing Officer and provides coverage for other senior director and patient care services colleagues.

Minimal Qualifications
Education

• Bachelor's degree in Nursing required
• Master's degree in Nursing or health related field required
• Doctoral degree in Nursing Leadership or Health Services Administration preferred
• Must be from a nationally accredited program

Experience

• 5-7 years of progressively responsible leadership roles in nursing including director of nursing (or equivalent) or above experience required

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia required
• Certification in Nursing Administration from a nationally recognized nursing organization such as NEA-BC or CENP within 1 Year required
• CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required
• Additional unit/specialty certifications may vary by department or business unit.

Knowledge Skills and Abilities

• Excellent problem-solving skills and ability to exercise independent judgment on highly complex situations.
• Business acumen and leadership skills.
• Strong verbal and written communication skills with ability to effectively interact and collaborate with all levels of management internal departments external agencies and MedStar entities (including cross-functional knowledge and savvy).
• Advanced knowledge of various computer software applications and online learning applications especially Microsoft PowerPoint and online training platforms.

Primary Duties and Responsibilities

• Master's degree in Nursing or health related field required and
• Doctoral degree in Nursing leadership or Health Services Administration preferred and
• must be from a nationally accredited program required

• 5-7 years Progressively responsible leadership roles in nursing including director of nursing (or equivalent) or above experience required

• RN - Registered Nurse - State Licensure and/or Compact State Licensure in the State of Maryland Upon Hire required and
• Certification in Nursing Administration from a nationally recognized nursing organization such as NEA-BC or CENP within 1 Year required and
• CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required and
• Additional unit/specialty certifications may vary by department or business unit.

• Excellent problem-solving skills and ability to exercise independent judgment on highly complex situations.
• Business acumen and leadership skills.
• Strong verbal and written communication skills with ability to effectively interact and collaborate with all levels of management internal departments external agencies and MedStar entities (including cross-functional knowledge and savvy)
• Advanced knowledge of various computer software applications and online learning applications especially Microsoft PowerPoint and online training platforms.

General Summary of Position

An exciting new role has been added to the team, offering a unique opportunity to make a direct impact on patient outcomes at a critical point in care. The In-Hospital Transition of Care RN Case Manager partners closely with hospital discharge planners to coordinate patient care at discharge, ensuring seamless continuity across care settings and reducing avoidable readmissions through proactive coordination, patient education, and timely follow-up.

This position is based at either Washington Hospital Center or The Psychiatric Institute of Washington (PIW) and offers the opportunity to work across diverse patient populations, with flexibility to provide coverage at both locations.

In this highly collaborative and autonomous role, the RN Case Manager manages a complex caseload and takes ownership of case management program(s), driving high-quality, cost-effective outcomes while enhancing the patient experience. The role includes coordinating and managing care for members/enrollees, completing pre-authorization reviews to ensure medical necessity and timely access to services, and conducting pharmacy reviews aligned with the population served. Working alongside an interdisciplinary team, you will play a key role in discharge planning, connecting patients to the right resources, and ensuring smooth transitions across the continuum of care.

This is an excellent opportunity for a nurse who thrives in a fast-paced environment, values critical thinking and autonomy, and is passionate about improving care transitions and patient outcomes. We are committed to fostering a supportive, inclusive environment where associates from diverse backgrounds can grow, advance, and make a meaningful difference.

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
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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.

Registered Nurse Career Opportunity

Encompass Health: Where Nursing Meets Heart, Home, and Healing
Are you seeking a nursing career deeply rooted in purpose, close to your heart and home? Encompass Health offers a transformative journey where your expertise as a Registered Nurse becomes an integral part of patients' recoveries. Picture the impact of providing individualized, compassionate care that guides patients along their path to healing. With us, small victories lead to monumental impacts as you use your specialized skills to offer top-tier, personalized support. Understand your patients deeply, assist in their rehabilitation goals, and thrive in an environment equipped with cutting-edge technology. Welcome to a place where nursing becomes a profound contribution to both community and personal fulfillment.

A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.

Starting Perks and Benefits
Our benefits are designed to support your well-being and start on day one:

• Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
• Generous paid time off that accrues over time.
• Opportunities for tuition reimbursement and continuous education.
• Company-matching 401(k) and employee stock purchase plans.
• Flexible spending and health savings accounts.
• A vibrant community of individuals passionate about the work they do!

Realize Your Vision as a Registered Nurse

• Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.
• Build meaningful relationships with patients and their families, understanding their unique needs to facilitate their recovery.
• Collaborate and communicate effectively with various departments to ensure coordinated care and provide direct patient care when needed.
• Serve as a resource for fellow staff, supporting them with complex patient needs and inquiries.
• Celebrate victories and milestones achieved by our patients.

Qualifications

• Valid RN licensures as required by state regulations.
• CPR certification (ACLS preferred).
• CRRN certification preferred.
• One year of experience in a rehabilitation hospital setting is preferred.