General Summary of PositionWe are actively recruiting for an Emergency Medicine (EM) Clinical Pharmacist II to join our pharmacy team at MedStar Good Samaritan Hospital in Baltimore, Maryland. This position will have a 7 on 7 off schedule. Our team and department is very engaged in direct patient care, advancing pharmacy services, working collaboratively with providers and nursing, and teaching and education through precepting residents and students.Daily responsibilities focus on coverage for the emergency department in facilitating code blue and stroke response and rapid sequence intubation, assisting with emergency medication access and providing recommendations to providers, and optimizing transitions of care through the Multi-Visit Patient Collaborative Committee.Additional clinical activities include direct supervision for our medication history technician, initial dosing for pharmacy to manage services, and participation in EM educational initiatives through coordination with other MedStar EM pharmacists.The clinical pharmacist would also work closely with EM providers locally and across the MedStar system through the EM Provider Clinical Practice Council (CPC), in addition to EM Pharmacy CPC, to advance the MedStar emergency medicine practice model.Minimum Qualifications- Doctoral degree PharmD or an equivalent Pharmacy degree from an accredited college of Pharmacy required- PGY-1 or 3 years of direct patient care experience in a hospital setting required- Verbal and written communication skills. Basic computer skills preferred.- RPH - Registered Pharmacist - Pharmacist licensure in the state of Maryland required- Board certification required within 1 year of eligibilityMedStar Health is a great place to work and grow your career. We provide a supportive and inclusive work environment, comprehensive health and wellness benefits, generous PTO, tuition assistance, retirement plans, and many other benefits focused on your wellbeing.Apply today and learn how MedStar Health can be your next great career move! Minimum QualificationsEducationDoctoral degree PharmD or equivalent Pharmacy degree from an accredited college of Pharmacy required Experience PGY-1 or 3 years of direct patient care experience in a hospital setting required Licenses and CertificationsRPH - Registered Pharmacist Pharmacist licensure in the state of Maryland required Board certification required within 1 year of eligibility required Knowledge, Skills, and AbilitiesVerbal and written communication skills. Basic computer skills preferred. This position has a hiring range of $118,331 - $230,172

General Summary of PositionWe are actively recruiting for an experienced Clinical Pharmacist to support our Anticoagulation Clinic at MedStar Franklin Square Medical Center on a PRN basis. This PRN position will primarily require day shift availability (7:30 am - 4 pm).Provides pharmaceutical care to assigned patients under the supervision of a more senior clinical pharmacist/manager. Evaluates and interprets physician orders and dispenses medication and other pharmaceutical supplies in accordance with established operational procedures, professional standards or practice as well as state and district and Federal laws. Primary Duties and ResponsibilitiesEvaluates medication orders for accuracy and thoroughness. Resolves discrepancies of medication orders through communication with the physician, clinical pharmacist, or nursing staff and dispenses medication.Assesses feasibility, compounds or verifies the compounding of extemporaneous products. Recommends alternative products when appropriate.Prepares IV admixtures and compounds sterile products including, but not limited to: large volume parenteral, mini-bags, TPN solutions, and hazardous agents including cytotoxic drugs.Independently responds to non-evaluative drug information requests.Monitors and takes appropriate action to ensure optimum patient drug therapy, drug selection, and minimal adverse drug reactions under the supervision of a more senior clinical pharmacist/manager.Reviews patient profile to determine contraindications with the prescription. Screens drugs/dosages to assure appropriateness based on the therapeutic intent and the patient's physiological functions. Participates in monitoring drug therapy under the supervision of a clinical level pharmacist or above, when working in a decentralized setting.Dispenses controlled substances and maintains perpetual inventory of controlled substances, assuring legal requirements and departmental policies and procedures are consistently followed.Provides technical supervision of support personnel. Oversees workflow and attendance to assure efficient operations. Verifies technicians' accuracy in the preparation and packaging of medications.Enters and verifies computer entries and data for drug orders. In decentralized setting, may instruct patients/families on the safe use of medications and counsel them on potential adverse effects. Minimum QualificationsEducationDoctoral degree PharmD or an equivalent Pharmacy degree from an accredited college of Pharmacy required Experience1-2 years of direct patient care experience in a hospital setting required PGY-1 preferred Licenses and CertificationsRPH - Registered Pharmacist Licensure in the state of Maryland required Board certification preferred Knowledge, Skills, and AbilitiesVerbal and written communication skills. Basic computer skills preferred. This position has a hiring range of $100,588 - $190,340

General Summary of PositionWe have an opportunity for a customer-focused outpatient / community Pharmacist to support our MedStar Pharmacy outpatient locations in Baltimore, Maryland on a PRN basis. Shifts that need coverage include9:30 -6 Monday - Friday and 10-2 Saturday.Evaluates drugs prescribed by physicians for appropriateness of dose, therapeutic efficacy, allergy, drug interaction, and contraindications; processes prescriptions through insurance company and handles DUR rejects, pre-authorizations, etc.; performs final check on all prescriptions, ensuring accurate input, labeling, and dispensing; and, provides counseling and drug information to patients and physicians. MedStar Pharmacy is committed to providing world-class, compassionate care to every patient, every time, at every touch point. All associates are accountable for their role in meeting patient experience standards. Primary Duties and ResponsibilitiesActs as the pharmacist in charge in the absence of the manager: directing workflow patterns, ensuring daily responsibilities are carried out by assigned staff, resolving issues requiring management intervention, and performing routine oversight of pharmacy operations.Performs final check on all completed prescriptions, verifying the accuracy of input, labeling, and dispensing; makes corrections as necessary; maintains refill and narcotic logs, and prescription files.Processes prescriptions in the dispensing system; evaluates prescriptions for appropriateness of dose, therapeutic efficacy, allergy, drug interactions, and contraindications; handles DURs, rejects, preauthorizations, etc.; communicates with third party payors to troubleshoot issues relating to coverage, reimbursement, etc.Provides clinical information and guidance to physicians and allied health professionals as appropriate to provide safe, prompt, and accurate dispensing of all prescriptions; calls physicians and follows up on refill requests; notifies physicians of Rx's requiring pre-authorizations and discusses alternatives as appropriate.Provides patient counseling as appropriate on a patient-by-patient basis. Minimum QualificationsEducation Licensed as a pharmacist in the State of Maryland required Experience1-2 years Pharmacy experience, preferably in retail required Licenses and CertificationsPHARMD - Licensed Pharmacist Current Maryland license, including Immunization/Vaccination Certification and registration with the board of pharmacy in that state required CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross required. Knowledge, Skills, and AbilitiesVerbal and written communication skills.Basic computer skills preferred. This position has a hiring range of $100,588 - $190,340

General Summary of PositionWe are actively recruiting for an experienced Specialty Clinical Pharmacist to join our growing team at MedStar Harbor Hospital in Baltimore, Maryland.Collaborates with providers to ensure safe and effective use of specialty medications and improves communication among the patient's healthcare team by reviewing and evaluating clinical guidelines, formulating protocols, conducting medication reconciliation, creating patient care plans and providing patient consultation that will improve patient medication adherence, health, well-being and knowledge. Documents and reports on healthcare-related interventions and outcomes. Participates in the process of maintaining specialty pharmacy accreditation. Primary Duties and ResponsibilitiesConducts medication order verification, dosage regimen design, effective administration and drug therapy monitoring services.Creates, updates and maintains specialty medication patient care plans.Provides specialty medication education with patients and consultations with providers.Obtains patient and drug related information for initial assessment, medication reconciliation, patient care planning, appropriate documentation and follow-up.Provides functional oversight for activities related to specialty pharmacy in the clinic setting.Documents all services according specialty pharmacy accreditation standards and payer specifications.Participates in collaborate practice agreements with prescribers to advance patient careAssists with the implementation, follow through, and administrative requirements associated with new clinical programs and all medications which require specialized monitoring.Coordinates with all appropriate clinical and administrative personnel on plans, programs and operations to improve efficiency and productivity. Minimum QualificationsEducationDoctoral degree PharmD from an accredited college of Pharmacy required Experience 3+ years of direct patient care experience in a clinical role, preferably in a specialty pharmacy required Ambulatory care experience preferred Licenses and CertificationsPHARMD - Licensed Pharmacist in Maryland required Eligibility for reciprocity to surrounding states, as required for practice required Completion of an ASHP accredited residency or other approved advanced training program preferred or Board of Pharmacy Specialty certification (BPS), or other approved certification like Certified Specialty Pharmacist (CSP), AAHIVP preferred Knowledge, Skills, and AbilitiesVerbal and written communication skills.Basic computer skills preferred. This position has a hiring range of $118,331 - $230,172

General Summary of PositionWe are actively recruiting for a full-time Clinical Pharmacist I to join our team at MedStar Harbor Hospital in Baltimore, Maryland. This Pharmacist will work primarily day and evening shifts with rotating weekends. Occasional night shift coverage may be required. Current PGY1 Residents are welcome to apply.Provides pharmaceutical care to assigned patients under the supervision of a more senior clinical pharmacist/manager. Evaluates and interprets physician orders and dispenses medication and other pharmaceutical supplies in accordance with established operational procedures, professional standards or practice as well as state and district and Federal laws. Primary Duties and ResponsibilitiesEvaluates medication orders for accuracy and thoroughness. Resolves discrepancies of medication orders through communication with the physician, clinical pharmacist, or nursing staff and dispenses medication.Assesses feasibility, compounds or verifies the compounding of extemporaneous products. Recommends alternative products when appropriate.Prepares IV admixtures and compounds sterile products including, but not limited to: large volume parenteral, mini-bags, TPN solutions, and hazardous agents including cytotoxic drugs.Monitors and takes appropriate action to ensure optimum patient drug therapy, drug selection, and minimal adverse drug reactions under the supervision of a more senior clinical pharmacist/manager.Reviews patient profile to determine contraindications with the prescription. Screens drugs/dosages to assure appropriateness based on the therapeutic intent and the patient's physiological functions. Participates in monitoring drug therapy under the supervision of a clinical level pharmacist or above, when working in a decentralized setting.Dispenses controlled substances and maintains perpetual inventory of controlled substances, assuring legal requirements and departmental policies and procedures are consistently followed.Provides technical supervision of support personnel. Oversees workflow and attendance to assure efficient operations. Verifies technicians' accuracy in the preparation and packaging of medications.Enters and verifies computer entries and data for drug orders. In decentralized setting, may instruct patients/families on the safe use of medications and counsel them on potential adverse effects. Minimum QualificationsEducationDoctoral degree PharmD or an equivalent Pharmacy degree from an accredited college of Pharmacy required Experience1-2 years of direct patient care experience in a hospital setting required PGY-1 preferred Licenses and CertificationsRPH - Registered Pharmacist Licensure in the state of Maryland required Board certification preferred Knowledge, Skills, and AbilitiesVerbal and written communication skills. Basic computer skills preferred. This position has a hiring range of $100,588 - $190,340

General Summary of PositionWe are actively recruiting for an experienced Clinical Pharmacist to join our team at MedStar Montgomery Medical Center in Olney, Maryland on a per diem basis. Ideal candidate will be available for days, evenings, nights, and rotating weekends, though weekday day shift availability will be the most critical for this particular PRN position. Shifts may include 7a-3:30p, 8:30a-5p, 9:30a-6p, 11:30a-8p, 8p-7a.Provides pharmaceutical care to assigned patients under the supervision of a more senior clinical pharmacist/manager. Evaluates and interprets physician orders and dispenses medication and other pharmaceutical supplies in accordance with established operational procedures, professional standards or practice as well as state and district and Federal laws. Minimum QualificationsEducationDoctoral degree Pharm D. or equivalent pharmacy degree from an accredited college of pharmacy required Experience1 year of direct patient care experience in a hospital setting required PGY-1 preferred Licenses and CertificationsRPH - Registered Pharmacist Licensure in the state of Maryland required Board Certification preferred Knowledge, Skills, and AbilitiesPROBLEM SOLVING: Job requires a relatively high level of problem-solving to find solutions to difficult human, technical, clinical or administrative problems.INTERNAL CONTACTS: Internal contacts necessary to effectively advise, consult or counsel others to gain cooperation and acceptance of ideas or actions.INDEPENDENT JUDGEMENT: Work is occasionally performed according to existing procedures and instructions but often requires analysis of problems and development of solutions. This involves determining appropriate methods and task sequences. Verbal and written communication skills. Basic computer skills preferred. This position has a hiring range of $100,588 - $190,340

General Summary of PositionWe are recruiting for an experienced outpatient / community Pharmacist to join our MedStar Pharmacy DC locations on a PRN basis. Shifts that will need coverage are 10:30am-7:15pm Monday - Friday and 8am - 4pm Saturdays. Dual-licensed Pharmacist in both DC and MD is a plus.Evaluates drugs prescribed by physicians for appropriateness of dose, therapeutic efficacy, allergy, drug interaction, and contraindications; processes prescriptions through insurance company and handles DUR rejects, pre-authorizations, etc.; performs final check on all prescriptions, ensuring accurate input, labeling, and dispensing; and, provides counseling and drug information to patients and physicians. MedStar Pharmacy is committed to providing world-class, compassionate care to every patient, every time, at every touch point. All associates are accountable for their role in meeting patient experience standards. Primary Duties and ResponsibilitiesContributes 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.Acts as the pharmacist in charge in the absence of the manager: directing workflow patterns, ensuring daily responsibilities are carried out by assigned staff, resolving issues requiring management intervention, and performing routine oversight of pharmacy operations.Performs final check on all completed prescriptions, verifying the accuracy of input, labeling, and dispensing; makes corrections as necessary; maintains refill and narcotic logs, and prescription files.Processes prescriptions in the dispensing system; evaluates prescriptions for appropriateness of dose, therapeutic efficacy, allergy, drug interactions, and contraindications; handles DURs, rejects, preauthorizations, etc.; communicates with third party payors to troubleshoot issues relating to coverage, reimbursement, etc.Provides clinical information and guidance to physicians and allied health professionals as appropriate to provide safe, prompt, and accurate dispensing of all prescriptions; calls physicians and follows up on refill requests; notifies physicians of Rx's requiring pre-authorizations and discusses alternatives as appropriate.Provides patient counseling as appropriate on a patient-by-patient basis.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. Minimum QualificationsEducation Licensed as a pharmacist in the District of Columbia (DC) required Experience1-2 years Pharmacy experience, preferably in retail required Licenses and CertificationsPHARMD - Licensed Pharmacist Current DC Pharmacist license, including Immunization/Vaccination Certification and registration with the board of pharmacy in that district required CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross required. Knowledge, Skills, and AbilitiesVerbal and written communication skills.Basic computer skills preferred. This position has a hiring range of $100,588 - $190,340

General Summary of PositionWe have an opportunity for an experienced Clinical Pharmacist to join our Oncology Infusion Center at MedStar Washington Hospital Center in Washington, DC.Collaborates and consults with physicians, nurses, and other healthcare professionals to ensure safe, efficacious and cost-effective prescribing, dispensing, administration and monitoring of medication in the provision of pharmaceutical care. In so doing, the pharmacist must have current, specialized drug knowledge and demonstrate judgment, communication skills, self-direction and motivation to affect positive interventions in patient outcomes beyond those exhibited by those in a Clinical Pharmacist I position. Participate in educational programs, as necessary, to provide basic and advanced services of the Pharmacy Department. Additionally, perform in the Clinical Pharmacist I role with its accountabilities and job activities pertaining to drug distribution, supervision and non-­ dispensing functions. Minimum QualificationsEducationDoctoral degree or equivalent Pharmacy degree from an accredited college of Pharmacy required Experience PGY-1 or 3 years of direct patient care experience in a hospital setting required Licenses and CertificationsPHARMD - Licensed Pharmacist in Washington, DC required Board certification within one year of eligibility within 1 Year required Knowledge, Skills, and AbilitiesVerbal and written communication skills. Basic computer skills preferred. This position has a hiring range of $118,331 - $230,172

General Summary of PositionUnit HighlightsThe Assistant Nursing Director of the Emergency Department plays a pivotal leadership role in a fast-paced, high-acuity environment. This position supports the Nursing Director in managing clinical operations, ensuring the delivery of safe, high-quality, and patient-centered care. The Assistant Director fosters a culture of excellence, innovation, and continuous improvement, while upholding the highest standards of emergency nursing practice.This role requires advanced clinical expertise, strong leadership skills, and a deep understanding of emergency care protocols, regulatory requirements, and evidence-based nursing standards. The Assistant Director serves as a mentor and resource for nursing staff, promoting professional development and interdisciplinary collaboration.What We OfferCulture- Collaborative, inclusive, diverse, and supportive work environment.Career growth- Career mentoring to help you pursue your passions and gain skills to enhance your value.Wellbeing- Competitive salary and Total Rewards benefits to help keep you happy and healthy.Reputation- Regional & National recognition, advanced technology, and leading medical innovations.QualificationsBSN, MSN, or CNL from an accredited School of Nursing required.Minimum three years of Emergency Room experience required.Leadership and management experience strongly preferred.Active MD RN License or Active Compact State RN required.Specialty certification from a nationally recognized nursing organization in either aclinical specialty or Nursing Administration preferred. This position has a hiring range of $100,588.00 - $190,340.00

General Summary of PositionUnit HighlightsThe Clinical Administrator is a member of MedStar Health entity-based Division of Nursing and leadership team. The role is accountable for directing and supervising clinical and administrative and ancillary resources to ensure the provision of holistic, culturallycompetent, quality, safe, and cost-effective evidence-based nursing care for patients and families. This is accomplished by directaction, delegation, coaching and support of the Division of Nursing's associates and shared/collaborative governance activities.The Clinical Administrator is recognized as a professional role model and clinical expert who promotes a professional practiceand care environment that supports continuous learning.The Clinical Administrator assumes leadership authority and responsibility during a specific shift (e.g., day, evening, night, and/orweekend) either for a designated number of patient care units/departments or the hospital at large. Collaborates with themembers of the Nursing Leadership team and other administrators/leaders within the hospital in maintaining adherence toregulatory and accreditation standards, and MedStar Health's policies and procedures. Demonstrates leadership and behaviorswhich are consistent with MedStar's mission, vision, goals, SPIRIT Values, patient care philosophy, and sound moral and ethicaljudgement.Positions available: Full-time (11a-11p) and PRN (Nights)What We OfferCulture- Collaborative, inclusive, diverse, and supportive work environment.Career growth- Career mentoring to help you pursue your passions and gain skills to enhance your value.Wellbeing- Competitive salary and Total Rewards benefits to help keep you happy and healthy.Reputation- Regional & National recognition, advanced technology, and leading medical innovations.QualificationsBSN, MSN, or CNL from an accredited School of Nursing required.Minimum three years of progressive nursing experience required. Previous inpatient Clinical Admin, Assistant Nursing Director, House Supervisor experience strongly preferred.Active MD RN License or Active Compact State RN and Basic Life Support for Healthcare providers required. This position has a hiring range of $86,112.00 - $131,497.00

General Summary of PositionUnit HighlightsHelp shape the future of cardiovascular surgical care one life-changing procedure at a time. MedStar Washington Hospital Center one of the region’s largest and most respected academic medical centers is seeking a dedicated and dynamic Director of Nursing to lead our Cardiovascular Operating Room (CVOR) team.Why Join Us As a key member of our Nursing Leadership team, you’ll lead one of the most advanced cardiovascular surgical programs in the country. This is an exceptional opportunity to support life-saving procedures, influence best practices, and shape the future of cardiovascular care delivery all while working alongside nationally recognized clinical teams.Key Responsibilities:·Provide 24/7 operational and clinical leadership for the CVOR, overseeing nursing practice, patient care quality, staffing, and budget management.·Foster a collaborative environment that supports innovation, professional development, and shared governance.·Ensure excellence in surgical care delivery while driving performance improvement initiatives.·Serve as a strategic partner to physician leaders, perioperative services, and hospital administration.·Lead, mentor, and develop a high-performing nursing team committed to clinical excellence and patient-centered care.Qualifications:·Bachelor’s degree in Nursing required; Master’s degree in Nursing or healthcare-related field preferred.·CVOR nursing experience is required.·Previous nursing leadership or management experience is strongly preferred.·Active RN licensure in the District of Columbia.·Specialty certification in nursing or administration required within 2 years of hire.What We Offer:·A leadership role in one of the country’s top cardiovascular programs.·Competitive compensation and benefits.·Professional growth and advancement opportunities through MedStar’s robust leadership development initiatives.·A mission-driven environment where your voice is heard and your expertise valued. This position has a hiring range of $118,331.20 - $218,171.20

General Summary of PositionDelivers proficient nursing care to patients and families whose needs range from uncomplicated to highly complex. Receives supervision from the Nurse Leader and functional supervision from the clinical coach/designee. May at times receive functional supervision from other registered nurses. Primary Duties and ResponsibilitiesCLINICAL: Identifies current and potential complex problems of a specific patient population, critically analyzes trends and changes in patient status, and plans appropriate interventions directly or indirectly through other nurses.CLINICAL: Collaborates with nurse leaders and colleagues to develop standards of care.CLINICAL: Develops and documents a plan of care that communicates to all caregivers the individualized needs of a patient with highly complex problems.CLINICAL: Identifies and evaluates long and short-range goals of nursing interventions.CLINICAL: Serves as a patient advocate by independently communicating clinical concerns in a timely manner to other members of the health care team.CLINICAL: Documents patient information in a manner that reflects the ability to integrate the nursing assessment data, pathophysiology of disease processes, and the therapeutic regimen into an appropriate evaluation of the patient status.CLINICAL: Coordinates and delivers care to patient (s) with complex nursing care needs to ensure the highest level of safety and quality while promoting a positive patient experience.CLINICAL: Utilizes approaches and strategies that support and optimize patient care outcomes that are based on the interdisciplinary plan of care and absolutes of IMOC and Contemporary Primary Nursing. Participates in the Contemporary Primary Nursing Model by acting as a primary nurse or associate nurse for selected patients. Collaborates with the multidisciplinary team on the patient plan of care using the Interdisciplinary Model of Care (IMOC).CLINICAL: Takes action to support the National Patient Safety Goals, nursing sensitive indicators, regulatory requirements (i.e., DC Health, TJC) and other identified quality metrics.EDUCATIONAL: Provides input to the orientation program for new staff.EDUCATIONAL: Conducts the individual orientation for new staff.EDUCATIONAL: Conducts and evaluates formal unit-based in-service education programs.EDUCATIONAL: Completes all mandatory competencies within the designated timeframe.ADMINISTRATIVE: Assumes formally designated resource role for colleagues in unit management.ADMINISTRATIVE: Acts as a consultant for nursing staff in the clinical management of patients.ADMINISTRATIVE: Provides input to the ongoing clinical evaluation of staff.ADMINISTRATIVE: Exhibits a demeanor that invites utilization by staff for problem solving.ADMINISTRATIVE: Participates in the formulation, implementation, maintenance and evaluation of departmental goals, objectives, policies and procedures.ADMINISTRATIVE: Participates in the implementation and evaluation of unit assessments and audits, including quality assurance and process improvement.ADMINISTRATIVE: Assesses patient care needs, establishes priorities and delegates tasks to peers and ancillary support staff as appropriate to scope of practice and unit requirements.ADMINISTRATIVE: Participates in unit-based committees and/or department of nursing committees, as applicable.ADMINISTRATIVE: Promotes the standards of Pathway to Excellence through daily practice. Minimum QualificationsEducationAssociate's degree in Nursing required Bachelor's degree in Nursing preferred If prepared at the associate degree in nursing level, required to enroll in a BSN program within 12 months of hire date and completion within 4 years of hire date. Experience Prior clinical nursing experience preferred Licenses and CertificationsRN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia 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. C-EFM - Electronic Fetal Monitoring from the National Certification Corporation (NCC) is required for Perinatal nurses (labor and delivery, antepartum, antenatal testing) within 12 months from date of hire. New graduate nurses or new to specialty nurses (labor and delivery, antepartum, antenatal testing) will have 15 months from date of hire to obtain the EFM certification. This position has a hiring range of $39 - $85.597

General Summary of PositionAssists the MedStar Family Choice (MFC) compliance and privacy programs. Conducts both internal and external audits to ensure compliance with regulatory requirements.We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels.Key ResponsibilitiesContributes 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.Analyzes existing clinical policies and makes recommendations to improve program integrity and organizationprocesses.Assists in investigating potential compliance/privacy violations.Assists with and tracks responses to external government inquiries, investigations, data requests, subpoenas, and fairhearings. Responds to government requests for claims data/information.Assists with internal and external Compliance and HIPAA education initiatives. Conduct provider education, asnecessary, regarding audit results.Communicates compliance issues and findings identified through audits and reviews. Prepares written audit reports andcommunicates the results to management. Initiates corrective action plans or continuous improvement plans identifiedthrough audits.Completes assigned routine and random audits all within assigned time frames. Ensures timely completion of riskassessments and related activities. Maintains or exceeds designated quality and production goals.Coordinates monthly exclusion data base checks, review and report findings.Maintains compliance tracking systems.Maintains confidentiality of all provider and member sensitive information reviewed during the auditing process.Organizes and maintains inventory of departmental and delegated vendor compliance and HIPAA policies andprocedures.Participates in health plan and business unit meetings and serves on system wide committees as appropriate. Serves as a technical resource in researching and responding to compliance inquiries.Participates in multidisciplinary quality and service improvement teams as appropriate. Participates in meetings, serveson committees and represents the department and hospital/facility in community outreach efforts as appropriate.Performs concurrent and retrospective clinical review audits in order to detect potential compliance and/or fraud, wasteand abuse.Performs medical record reviews to determine the appropriateness of billing, coding and documentation.Performs routine and random member and employee audits in order to detect potential compliance issues.Performs special projects as requested by management.Reports any inquiries concerning improper billing practices or reports of non-compliance to the Director of MedicaidContract Oversight.Reviews and analyzes claims data for trends to identify possible fraud, waste and abuse. Utilizes audit and monitoringtools to analyze and trend data to identify variances in claims billing.Performs other duties as assigned.What We OfferCulture- Collaborative, inclusive, diverse, and supportive work environment.Career growth- Career mentoring to help you pursue your passions and gain skills to enhance your value.Wellbeing- Competitive salary and Total Rewards benefits to help keep you happy and healthy.Reputation- Regional & National recognition, advanced technology, and leading medical innovations.QualificationsBachelor's degree in nursing preferred.3-4 years Clinical experience in an acute care setting; experience in medical record review; 3 years experience in performing internal or external clinical audits and reviews in support of regulatory compliance initiatives required.Active DC RN License required.At least one coding credential preferred: Certified Coding Specialist (CCS), Certified Coding Associate (CCA) or Certified Professional Coder (CPC). This position has a hiring range of $72,758 - $130,041

General Summary of PositionResponsible for the implementation, integration, and overall operational direction of the utilization management and case management programs within MedStar Family Choice through organizing, directing, assessing, and evaluating a clinical system that manages cost and quality patient care outcomes. Functions as the representative at the system level to assure integration of the case management program and meet the established objective of quality, cost effective outcomes. We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels.Requirements:* BSN Required, MSN Preferred* 5-7 Years in Nursing Case Management within a Managed Care Organization (MRO) Required* 3-5 Years in Leadership of Case Management within a Managed Care Organization (MRO) Required* Active DC RN license Required This position has a hiring range of $118,331 - $230,172

General Summary of PositionThe position is a crucial role in overseeing and directing quality improvement initiatives within MedStar Family Choice. Responsible for developing and implementing strategies to enhance the quality of care, improve health outcomes, and ensure compliance with regulatory standards. The Director collaborates with cross-functional teams, healthcare providers, and external stakeholders to drive continuous quality improvement and promote a culture of excellence in healthcare delivery. This is a pivotal role in developing and implementing a comprehensive quality improvement strategy that aligns with MedStar Family Choice's mission, vision, and strategic objectives. Leads cross-functional teams, collaborate with healthcare providers and network partners, and engage with regulatory agencies to drive continuous improvement in healthcare quality and performance. Identifies quality improvement priorities, setting measurable objectives, and implementing evidence-based interventions to address identified quality gaps in care. Leverages advanced analytics and data-driven insights to monitor performance, identify trends, and drive actionable recommendations for improvement. Fosters a culture of quality and accountability by communicating, collaborating, and working closely with internal departments, healthcare providers, and external stakeholders. Provides training, education and support to internal staff and network partners on quality improvement methodologies, performance measurement and regulatory requirements.Core CompetenciesMedicaid Quality Expertise: Deep knowledge of Medicaid programs, HEDIS, and EPSDT measures.Achievement Orientation: Demonstrated track record of leading initiatives that result in quantifiable improvementsnot just participation in efforts.Strategic Outreach: Ability to design and lead successful outreach strategies for hard-to-reach populations, including under-21 members. Need to be able to describe the outreach strategies that were successful in detail.Operational Rigor: Strong experience creating documentation, protocols, workflows, and holding teams accountable to outcomes.Leadership and Team Development: Ability to turn around underperforming teams, mentor and develop staff, and create a culture of ownership.Analytical and Data-Driven: Uses data to inform strategies, track progress, and guide decision-making.*Please note that this position would require you to work 4 days on site in DC*Key ResponsibilitiesLeads the development and implementation of a comprehensive quality improvement strategy aligned with MedStar Family Choice goals and objectives.Identifies key areas for improvement, set measurable objectives, and establish performance metrics to monitor progress and outcomes.Directs and oversees quality improvement initiatives across the health plan, including but not limited to HEDIS measures, EPSDT measures, NCQA and EQRO accreditation.Collaborates with cross-functional teams to develop action plans, implement interventions and monitor performance against quality targets.Utilizes advanced data analytics and healthcare informatics to analyze healthcare data, identify trends, and drive performance initiatives.Develops and maintains comprehensive reports, dashboards, scorecards to track quality metrics, performance trends, and improvement opportunities.Prepares, analyzes, and oversees special reports such as CAHPS, EPSDT, Provider Satisfaction, Annual Technical Report, SPR, Performance Improvement Projects (PIPS), Value Based Purchasing (VBP), and Encounter Data Validation.Oversees and supervises annual quality audits performed by the external quality review organization (EQRO) and NCQA, HEDIS, EPSDT, Encounter Validation Data, Network Adequacy Validation, and System Performance Review.Lead efforts to continuously evaluate and improve quality improvement processes, tools, and methodologies based on industry best practices and organizational needs.Fosters a culture of continuous improvement by encouraging innovations, soliciting feedback, and empowering staff to take ownership of quality improvement initiatives.Coordinates and conducts studies for the various quality measures required by State regulatory guidelines and NCQA. Evaluates member satisfaction and provider satisfaction and make modifications as necessary to improve satisfaction.Provides training, education, and support to internal staff, healthcare providers, and network partners on quality improvement methodologies, performance measurement, and regulatory requirements.Facilitates learning opportunities and knowledge-sharing sessions to promote awareness, understanding, and adoption of quality improvement best practices.Assists with organizing the agenda and actively participate in Quality Improvement Committee meetings, other departmental meetings, and State meetings as directed. Oversees the preparation and distribution of agendas and minutes for committee meetings.Develops department goals, objectives, policies, and procedures. Ensures compliance with business unit policies and procedures and governmental and accreditation regulations.Supervises and monitors the effectiveness of contracted vendors who assist with outreach, wellness, member/enrollee service, and quality efforts. Oversees the development of a Corrective Action Plan when goals are not met.Oversees the development, preparation, and delivery of meaningful real-time Provider Scorecards to MFC’s participating providers to educate, inform, and assist them in obtaining MFC’s goals and objectives. Oversees and assists with MedStar Medical Group’s Quarterly POD meetings to deliver Provider Scorecards and perform face-to-face provider education on MFC’s QI Program.Works collaboratively with the Information Systems Team and Senior Data Analyst to develop reports to meet the department’s annual objectives. Uses technology to enhance decision-making and effectiveness.Oversees the development, implementation, and revision of wellness and preventative care programs, goals, and interventions. Ensures that each area meets targeted goals as determined by the regulatory jurisdiction such as ValueBased Purchasing (VPB), EOSDT, and HEDIS. The goal is at minimum neutral to incentive targets and/or NCQA 75th to 90th percentile.Identifies target populations, geographic areas, and key stakeholders to prioritize outreach efforts and maximize impact.What We OfferCulture- Collaborative, inclusive, diverse, and supportive work environment.Career growth- Career mentoring to help you pursue your passions and gain skills to enhance your value.Wellbeing- Competitive salary and Total Rewards benefits to help keep you happy and healthy.Reputation- Regional & National recognition, advanced technology, and leading medical innovations.QualificationsBachelor's degree in healthcare field required, BSN preferred. Master's degree in healthcare field preferred.5-7 years Quality Improvement experience within a health plan, preferably a Managed Care Organization (MCO), 3 years supervisory experience system development and implementation experience required.5-7 yearsSupervisory experience; system development and implementation experiences required.5-7 years Diverse clinical experience required.Active DC RN License and Basic Life Support for Healthcare providers required.Valid RN license in the District of Columbia preferred.CPHQ certification upon hire preferred. This position has a hiring range of $111,779 - $212,513