Pediatric Resource Management Nurse Lead

10100 Children's Hospital; United States; Presencial; USD 92.000 - 154.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive health coverage

Generous paid time off

401(k) plan

Life/AD&D and disability coverage

Tuition assistance and other perks

Descripción de la vacante

Children’s National is seeking a Clinical Resource Management Nurse Lead to provide day-to-day leadership for the CRM department, overseeing staffing, assignments, and daily operations while maintaining 24-hour accountability for planning, managing, and evaluating department functions.

You will guide utilization review across Children’s National, elevating quality and consistency through evidence-based criteria and promoting optimal patient care within CMS guidelines and Magnet initiatives.

Formación

• Bachelor’s Degree is required.
• Master’s Degree is preferred.
• Minimum five years’ experience in relevant field.
• One year pediatric experience in a comparable setting required.
• One year nursing leadership experience required.
• Experience in Case Management and/or Utilization Management preferred.

Responsabilidades

• Provide day-to-day leadership for CRM department.
• Oversee staffing, assignments, and daily operations.
• Maintain 24-hour accountability for planning and evaluating department functions.
• Guide utilization review using recognized criteria.
• Support concurrent denial management and ensure appropriate care.
• Collaborate with payors and CRM leadership to improve authorization processes.

Conocimientos

Leadership

Nursing leadership

Case Management

Utilization Management

Communication

MS Office

Educación

Bachelor's Degree

Master’s Degree

Herramientas

MS Office Suite

Descripción del empleo

Children’s National is seeking a Clinical Resource Management Nurse Lead to provide day-to-day leadership for the CRM department, overseeing staffing, assignments, and daily operations while maintaining 24-hour accountability for planning, managing, and evaluating department functions.

You will guide utilization review across Children’s National, elevating quality and consistency through evidence-based criteria and promoting optimal patient care within CMS guidelines and Magnet initiatives.