4 RN Regional Team Lead Jobs in Ashburn, VA
Essential Healthcare Solutions is Hiring a Remote RN Regional Team Lead
Rehabilitation Case Management Team to deliver expert, quality services and supports to our Department of Labor customer and the constituents the program serves.
The RN Regional Team Lead, working with the team of other RN Regional Team Leads, shall monitor and assess the quality and performance of the DOL Nurse and Vocational Rehabilitation Case Management Services (NVRS) Contract, which supports the Office of Workmens Compensation Programs (OWCP) above and beyond the disability claims management process managed by a claims examiner by providing intensive and immediate intervention early in the disability period, assist with the medical management of disability claims, and assist with the provision of vacation rehabilitation services.
Responsibilities include, but are not limited to:
- Support RN Regional Quality Assurance Manager with day-to-day oversight to ensure quality control measures are adhered to support all program services and deliverables.
- Collaborate with the Program Director, Assistant Program Director, Program Trainers, RN Regional Quality Assurance Managers, and the FECA program to incorporate lessons learned from quality assurance findings and any corrective actions into the training materials.
- Ensure all cases are assigned and serviced in a timely manner.
- Manage the case reassignment process: notify FECA of the request, verify the destruction of PII, and confirm FECA approval for the case reassignment.
- Ensure case manager access to DMP and central bill pay portal, and any equivalent thereof.
- Ensure compliance with OWCP Records Management policies.
- Ensure compliance with Privacy Act of 1974 and all other requirements of the PWS.
- Ensure timely transmittal of all materials, and destruction of all materials when assignment ends.
- Other specific tasks that may be added.
- Monitor the day-to-day activities as follows:
- Assign and schedules work projects.
- Schedule special and non-routine functions.
- Monitor day-to-day projects to ensure work completion in accordance with established timeframes.
- Establish priorities for projects.
- Assure the quality, quantity, and accuracy of work performed.
- Assist in recruiting and screening of qualified Contractors RC, FN or TN Nurses.
- Train and monitor the progress of contract staff assigned to the specific task.
- Assist the Quality Assurance Manager developing of corrective action plans, assessing training needs, and potential personnel actions, and other activities as directed.
- Verify the accuracy, quality of services, and cost effectiveness of all paid services and addresses irregular reporting practices.
- RN with nurse case management experience required.
- Additional certifications/licensure preferred: COHN, CCM, CIRS/CRRN, CDMS, or ANCC/ANA.
- 2 years case management or rehabilitation counselor supervisory experience.
- 2 years quality assurance experience preferred.
- Proven ability to meet schedule and program requirements of a program of similar size and scope.
- 2 years experience with nursing and/or vocational rehabilitation case management in the FECA or other workers compensation arena preferred.
- Knowledge of Federal workers compensation laws, regulations, and processes preferred.
- Thorough understanding of government contracting preferred.
- Excellent verbal and written communication skills.
- Strong leadership skills.
- Must possess strong computer skills in MS Office, including Excel, Word, Teams.
- Ability to type 45 wpm.
Remote work, from home office. Occasional travel to corporate office in Ashburn, VA. Availability during off-hours via cell phone, as needed.
This is a full-time exempt position.
Job Summary
Full Time
Ancillary Healthcare
$155k-208k (estimate)
12/26/2023
05/16/2024
essentialhcsolutions.com
MEMPHIS, TN
25 - 50
2015
TIMOTHY AUSTIN
<$5M
Ancillary Healthcare
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About Essential Healthcare Solutions
Essential HealthCare Solutions, LLC is a national consulting firm and healthcare management company. The core services include building provider networks and healthcare consulting. The team has extensive experience in provider network development, contract negotiations, contract execution, healthcare consulting and management services. Our experienced team has payer and provider experience making us uniquely qualified to understand the marketplace, anticipate the needs and bridge any gaps. Our approach in building provider networks is: A comprehensive solution with the following three key area...s of focus: Provider Speed to Market We have developed statewide and national provider networks and can meet very aggressive milestones, engage providers and deliver quality contracts High Performing Networks Network status visibility and prioritization with competitive negotiations, well priced networks and ability to monitor goals Market Penetration Engagement of providers and facilities in the market area quickly to establish value proposition and relationships for network growth and sustainability as well as filling in gaps needed to meet network adequacy requirements Credentialing Verification We use a robust credentialing verification management system that performs primary source verification for state licensure, background checks, malpractice history and verification to ensure the safety of those that are served. We are confident in our abilities to bring contracted providers to any network and can build a robust network based in any timeline and within budget. Our expertise and vast experience in the healthcare field will contribute to the overall success of any project by accurately pricing the reimbursement to the providers for services rendered, effectively communicating the opportunity and secure their participation as well as secure payer contracts for providers that yield positive financial, on time deliverables and service outcomes.
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