Job Description

The Registered Nurse, Team Lead, is responsible for daily operations (staffing and assignments) and directing the activities of the Outpatient Surgery Center. Provides 24 hour accountability for planning, managing and evaluating department functions. Guides, supervises and elevates the quality of practice for utilization review within Children's National. Key areas of focus include use of nationally recognized criteria sets, status changes and concurrent denial management. All nursing practice is based on the legal scope of practice, national and specialty nursing standards, CNMC Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. CNMC supports the development of RN relationships within the community; specifically those relationships associated with the health and well-being of the community at large.Qualifications:Minimum EducationBachelor's Degree (Required)Master's Degree (Preferred)Minimum Work Experience5 years Nursing experience (Required)1 year Pediatric experience in a comparable setting (Required)1 year Demonstrated nursing leadership experience (Required)Required Skills/KnowledgeFamiliar with software such as Window's environment (Microsoft Office, Word, PowerPoint, Excel, Access).Excellent oral and written communication skills.Fluent in medical management criteria such as MCG and/or InterQual.Required Licenses and CertificationsRegistered Nurse in District of Columbia .Functional AccountabilitiesProfessional Practice/ResearchFacilitate the CMI practice group of Shared Nursing Leadership and support other initiatives. Contribute to the sustainability and advancement of Magnet designation. Ensure that utilization review for patient status (IP and Observation) is based on evidence of best practice. Accountable for supporting/participating in the CRM and/or Division of Nursing's Performance Improvement processes. Participate in community activities. Daily OperationsAccountable for staffing and assigning coverage for all roles within CRM; engages with CMI Team Lead, Manager & Director to problem solve. Responsible for 24/7 assessment and supervision of work flow for CMI's and support positions. Supervise utilization review activities, interface with internal and external stakeholders to achieve appropriate level of care and optimize reimbursement; ensure compliance with CMS regulations. Interact with payors and CRM leadership to improve the authorization process. Engage in performance improvement activities to standardize and elevate practice. CommunicationDemonstrate advanced communication skills in dealing with staff and all members of the healthcare team.Provide constructive, sensitive and timely feedback to staff concerning their performance in verbal and written form.Effectively manage conflict and assist others to understand their behavior and their effect on the work environment.Communicate and escalate issues as appropriate to the Manager and Director.Staff EducationFacilitate learning opportunities for staff. Participate in the education and training of Case Managers and other staff. SafetySpeak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance Organizational AccountabilitiesManagement and Leadership SkillsMonitors Kronos reconciliation and ensures schedule and timecard accuracyResponsible for all aspects of performance appraisal for designated staffParticipates in the hiring of staff by completing WFM paperwork, conducting interviews and making recommendations for hireAssumes coverage of unit in absence of Manager & Director and makes decisions within authorized scopeDemonstrates initiatives and leadership through involvement in department based projects and committeesEstablishes collaborative relationships and network across the organization to ensure effective outcomesRepresents CRM on organizational committees and initiativesOrganizational Commitment/IdentificationPartner in the mission and upholds the core principles of the organizationCommitted to diversity and recognizes value of cultural ethnic differencesDemonstrate personal and professional integrityMaintain confidentiality at all timesCustomer ServiceAnticipate and responds to customer needs; follows up until needs are metTeamwork/CommunicationDemonstrate collaborative and respectful behaviorPartner with all team members to achieve goalsReceptive to others' ideas and opinionsPerformance Improvement/Problem-solvingContribute to a positive work environmentDemonstrate flexibility and willingness to changeIdentify opportunities to improve clinical and administrative processesMake appropriate decisions, using sound judgmentCost Management/Financial ResponsibilityUse resources efficientlySearch for less costly ways of doing thingsOrganizational Accountabilities (Staff)Organizational Commitment/Identification Teamwork/Communication Performance Improvement/Problem-solving Cost Management/Financial Responsibility Safety Children's National Hospital

Job Tags

Similar Jobs