Nursing Jobs in Gambrills, MD
$89,976 - $134,964 / year
Anticipated End Date: 2026-05-29 Position Title: Med Mgmt Nurse (US) Job Description: Location: This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. *This position requires travel to our Washington, D.C. office 4 days each week. The office is located at 609 H. Street NE. The Medical Management Specialist I is responsible for providing non-clinical support to the Medical Management and/or Operations areas. The Medical Management Nurse is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member’s clinical presentation to determine whether to approve requested service(s) as medically necessary. Works with healthcare providers to understand and assess a member’s clinical picture. Utilizes nursing judgment to determine whether treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not satisfy relevant clinical criteria. Acts as a resource for Clinicians. May work on special projects and helps to craft, implement, and improve organizational policies. How you'll make a difference: Utilizes nursing judgment and reasoning to analyze members’ clinical information, interface with healthcare providers, make assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical necessity. Works with healthcare providers to promote quality member outcomes, optimize member benefits, and promote effective use of resources. Determines and assesses abnormalities by understanding complex clinical concepts/terms and assessing members’ aggregate symptoms and information. Assesses member clinical information and recognizes when a member may not be receiving appropriate type, level, or quality of care, e.g., if services are not in line with diagnosis. Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. May make recommendations on alternate types, places, or levels of appropriate care by leveraging critical thinking skills and nursing judgment and experience. Collaborates with case management nurses on discharge planning, ensuring patient has appropriate equipment, environment, and education needed to be safely discharged. Collaborates with and provides nursing consultation to Medical Director and/or Provider on select cases, such as cases the nurse deems particularly complex, concerning, or unclear. Serves as a resource to lower-level nurses. May participate in intradepartmental teams, cross-functional teams, projects, initiatives and process improvement activities. Educates members about plan benefits and physicians and may assist with case management. Collaborates with leadership in enhancing training and orientation materials. May complete quality audits and assist management with developing associated corrective action plans. May assist leadership and other stakeholders on process improvement initiatives. May help to train lower-level clinician staff. Minimum Requirements: Requires a minimum of associate’s degree in nursing. Requires a minimum of 4 years care management or case management experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of education and experience, which would provide an equivalent background. Current active, valid and unrestricted RN license and/or certification to practice as a health professional within the scope of licensure in applicable state(s) or territory of the United States required. Multi-state licensure is required if this individual is providing services in multiple states. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $89,976 to $134,964 Locations: District of Columbia (Washington, DC) In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. *The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration . $75,108.80 - $133,099.20 / year
***Up to $25,000.00 Sign-On Bonus*** The Operating Room Nurse provides patient care in a surgical setting in accordance with applicable scope and standards of practice with the policies, values, and mission of the organization. Monitors and manages the patient and operative environment during surgery to maintain a safe environment, optimize outcomes and maximize available resources. All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children's National 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. Children's National supports the development of RN relationships within the community; specifically those relationships associated with the health and well-being of the community at large. A RN is an independent practitioner who functions as an identified resource to staff in a patient care area. H/She will provide comprehensive patient care to a variety of patients. Incorporate all members of the health care team in the planning and delivery of patient care. Will deal successfully with complex clinical problems. Conduct quick assessment of patients and handle emergency situations appropriately. Demonstrate evidence based practice through participation in unit projects and activities. Minimum Education Associate's Degree Graduated from an approved school of nursing. (Required) Bachelor's Degree BSN (Preferred) Minimum Work Experience 2 years At least 2 years of operating room experience required. (Required) 2 years Experience in at least two of the following specialties: Neurosurgery, Ortho, Ortho-Spine, General Surgery, Colorectal, ENT, Davinci Robotic, Kidney transplant. (Required) Required Skills/Knowledge 1 year Pediatric OR experience preferred (Preferred) Successfully complete the hospital and nursing orientation at Children’s National. Excel in organizational skills, adjust for changes and be able to complete assignment on time. Care will incorporate best practices based on benchmarks and evidence within the literature Maintain proficiency in at least three or more of the following services: General Surgery, Colorectal, Kidney Transplant, ENT, Ortho/Ortho-spine, Neurosurgery, Cardiac Surgery, Urology/Davinci-Robotic, Plastic, Oral Maxillofacial, GI. Knowledge of basic computer skill and ability to learn and apply new technology and skills Adaptability: Maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusting effectively to change by exploring the benefits of trying new approaches, and collaborating with others to make the change successful Building Partnerships: Developing and leveraging relationships within and across work groups to achieve results Collaboration: Working cooperatively with others to help a team or work group achieve its goals Communication: Conveying information and ideas clearly and concisely to individuals or groups in an engaging manger that helps them understand and retain the message; listening actively to others. Inclusive of written and verbal skills Diversity and Inclusion: Being sensitive to cultural diversity, race, gender, and other differences in the workforce; recognize the value of diverse perspectives and experiences and fosters a work environment reflective of the community at large. Decision Making: Identifying and understanding problems and opportunities by gathering, analyzing, and interpreting quantitative and qualitative information; choosing the best course of action by establishing clear decision criteria, generating and evaluating alternatives, and making timely decisions; taking the action that is consistent with available facts and constraints and optimizes probable consequences; demonstrating critical thinking skills by problem solving patient care, and unit/system issues. Managing Relationships: Meeting the personal needs of individuals to build trust, encourage two-way communication and strengthen relationships Managing Work: Effectively manage ones time and resources to ensure work is completed efficiently Required Licenses And Certifications Registered Nurse in District of Columbia Registered Nurse licensed in the District of Columbia, Maryland or Virginia dependent upon location of practice. (Required)Basic Life Support for Healthcare Provider (BLS) (Required) Functional Accountabilities Certified Nurse OR (CNOR) (Preferred) Functions As An Operating Room Nurse Consults and coordinates with healthcare team members to assess, plan, implement, and evaluate intraoperative patient care plans. Serves as the communication liaison to patients, families, and members of the operating team. Prepares the operation room for the patient and the surgical procedure. Assembles equipment, supplies and implants, and ensures equipment is functional, and supplies and implants are available. Delivers perioperative patient and family centered care incorporating the nursing process while providing developmentally appropriate, culturally sensitive, evidence based care. Utilizes outcome data at the patient level to make care decisions. Participates in the quality improvement activities and uses quality measures to understand individual and unit performance. Provides direct guidance and oversight of the orientee in all patient care and clinical activities and ensures that those behaviors adhere to documentation standards, standards of care, and policies and procedures. Participates in unit shared governance initiatives to improve patient care, throughput as determined by leadership. Navigates and documents in the EMR to support patient care. Works within scope of practice and delegates according to Nurse Practice Act. Demonstrates the knowledge of risk and safety issues and uses measures to ensure optimal outcomes Actively participates in Universal Protocol and timeout, including the fire risk assessment with the surgical team prior to the start of the surgical procedure according to hospital policy guidelines. Completes post procedure pause at conclusion of surgical case. Understands purpose of positioning devices and uses them correctly, following policy, to protect the patient from injury and to promote optimal exposure. Follow established policy and procedures for instrument counts; initiate corrective actions when instrument counts are incorrect. Verifies medications, concentrations, expiration dates of all medication received on the sterile filed in concert with ST, surgeon, and Anesthesia provider. Communicates observations or concerns related to unsafe situations that pose a risk to patients, families or the healthcare team. Stop in the face of uncertainty and take time to resolve the situation. Continuously validate and verify information needed for decision making. Demonstrate accurate, clear and timely verbal and written communication. Actively promote safety for patients, families, visitors and co-workers. Pay attention to detail, practice STAR - Stop, Think, Act, Review. Assist the surgical team with emergency situations. Demonstrates actions that shows accountability and professional judgment Arrives to the unit on time. Handles difficult situations appropriately. Utilizes downtime constructively. Complies with departmental policies and procedures. Consistently participates in staff meeting and in-services to improve skills. Completes, documents, and reports all mandatory education and training. New Knowledge, Innovations, and Improvements Initiate ways to improve operations through quality improvement and implement related solutions. Serve as a resource for current, new information or changes in specialty area. Care incorporates best practices based on benchmarks and evidence within the literature. Mentor and precept new nurses in clinical specialties. Transformational Leadership Contribute to Magnet re-designation as evidenced by independent involvement or leadership in: committees, task forces and/or community outreach. Role model critical thinking skills by problem-solving patient care and unit/system issues. Communication reflects development of plan of care and ability to advocate to meet patients’ needs; makes suggestions for resolution of system issues. Role model procedures for escalation of issues; utilize chain of command. Demonstrate a collegial and respectful relationship with peers, physicians and other departments. Demonstrate proper use of identified hand off processes; follow up on inconsistent practice related to handoff. Take the lead in implementing change and support management decisions. Role model behavior that reflects empathy, concern and a desire to help others. Structural Empowerment Independently maintain regulatory requirements e.g. license, BLS. Initiate professional activities to enhance nursing practice. Engage in active review of peers giving constructive feedback through timely participation in evaluations. Role model adherence to national safety standards and service excellence standards; champion advancement of education and certification. Orchestrate involvement of the healthcare team and role model professional behavior and teamwork with co-workers. Serve as a resource as needed and know when to escalate to next level. Exemplary Professional Practice Analyze assessment data gathered from patient and family to ensure completion of database and plan of care within identified timeframes. Role model excellent clinical skills with complex patients; care reflects analysis of patient status and appropriate interventions. Direct prioritization and organization for complex patient with rapidly changing needs. Documentation exemplifies adherence to the highest standards of practice. Anticipate and proactively plan for educational needs; verify with patient and family throughout the hospital/outpatient stay and prior to discharge. Excel in organizational skills, adjust for changes and be able to complete assignment on time. Role model caring in all encounters with patient and family as evidenced by feedback from parents and an increase in patient satisfaction scores. Organizational Accountabilities Organizational Accountabilities (Staff) Organizational Commitment/Identification Teamwork/Communication Performance Improvement/Problem-solving Cost Management/Financial Responsibility Safety Primary Location District of Columbia-Washington Work Locations CN Hospital (Main Campus) Job Nursing Organization Surgery COE Position Status R (Regular) Shift Day Work Schedule Monday-Friday 11a-9:30p with call Job Posting Jan 30, 2026, 1:29:19 AM Full-Time Salary Range 75108.8 
