RN Nurse Team Lead | Outpatient Surgery Center

The Nurse Team Lead is responsible for daily operations (staffing and assignments) and directing the activities of the Clinical Resource Management department. 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.

This state of the art, 60,000 square foot facility is the latest effort to ensure children and their families can easily and conveniently access Children’s National specialists and primary care providers. 

The outpatient clinics and surgery center provides families in Prince George’s county greater access to the broad range of world-class care Children’s National offers, including: cardiology, neurology, genetics, allergy, sports medicine and orthopedics, and rehabilitative medicine. Additionally, families will be able to more easily access infusion, transfusion, MRI, hematology and outpatient surgical services. 

Children's National is the leading provider of pediatric care in the Washington, DC metro area. Our team of 8000+ employees provides world-class care in a warm and caring environment designed with kids in mind. Children’s National is a Magnet® designated hospital and is consistently ranked among the best pediatric hospitals in America by U.S. News and World Report.

Minimum Education
Bachelor's Degree (Required)
Master's Degree (Preferred)

Minimum Work Experience
5 years Nursing experience (Required)
1 year Pediatric experience in a comparable setting (Required)
1 year Demonstrated nursing leadership experience (Required)

Required Skills/Knowledge
Familiar 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 Certifications
Registered Nurse in Maryland or Compact State

Functional Accountabilities
Professional Practice/Research

• Facilitate 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 Operations

• Accountable 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.

Communication

• Demonstrate 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.