Overnight Prior Authorization Rn Jobs in Virginia

YFT Bristow HQ - Bristow, VA 20136

Position Type Full Time Education Level 4 Year Degree Category Nurse

Youth For Tomorrow is a 501 (c) (3) and a faith based, non-profit organization, founded in 1986 by Hall of Fame Football Coach Joe Gibbs. The organization is large, diverse, experienced and committed to serving at-risk youth.

Benefits

YFT offers competitive pay, continuing education, and ongoing trainings. We offer a comprehensive benefit package for full-time employees such as medical, dental, vision, group life insurance, and up to a 5% retirement match. We also offer supplemental insurances such as life, short-term disability, critical illness, accident insurance and legal resources. We have 9 paid holidays and personal time off accruals.

Schedule: Overnights with alternating weekends. Potential for 4 10-hour shifts

Role & Responsibilities

• Performs clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services
• Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team
• Performs assigned waived testing in the laboratory to provide data for the diagnosis, treatment, and prevention of diseases. Receives specimens and stocks supplies when received in the department. Troubleshoots/resolves instrument problems and document corrective actions in appropriate log and when necessary. Assures that quality control is properly performed and logged and follow proper department procedure for corrective action. Demonstrates the knowledge and skills to train new employees.
• Draws blood and administers injections as needed
• Rotates weekends and participates in on-call duties as defined by the on-call policy
• Collaborates with nurse manager to create an environment of teamwork that supports improved outcomes and service.
• Supports the efforts of the facility to improve engagement by attending required/mandatory meetings.
• Conducts new admission assessments and completes new admission tasks within time frame specified by licensing regulations.
• Assesses and provides first aid/appropriate follow up for acute medical issues of residents
• Responds to Medicaid/Level C incidents and conducts assessments accordingly
• Maintains and manages quality care of residents. This includes working across the care team (nursing, case management, therapists, residential staff, etc) to ensure residents' health and wellness needs are met in accordance with licensing requirements.
• Maintains working knowledge of preventative care and acute care issues that affect residents in order to develop treatment care plans and perform education to assist residents in health goals
• Assists with admission and discharge processes to ensure efficient throughout and high quality, patient-centered care
• Makes appointments, maintains and edits shared calendar, processes paperwork and ensures necessary follow ups are complete, excellent and thorough documentation, performs and responds to audits to ensure health needs are being met in accordance with licensing regulations, effectively communicates with all relevant members of the care team (including resident, guardians, placement agencies, YFT treatment team members, and outside medical offices and entities, and other tasks as assigned
• Manages multi-disciplinary care as applicable while promoting continuity of care with appropriate admissions, transfers, and discharges
• Collaborates and communicates with Medical Director and interdisciplinary team regarding health needs of residents (including residents, guardians, placement agencies, YFT staff- medical/nursing, case management, clinical, executive, quality assurance, food services, intake and admissions, and campus operations, and outside medical offices and entities) while maintaining appropriate discretion and compliance with HIPAA.
• Completes and obtains necessary paperwork on each resident, schedules appointments that are needed within the set licensing parameters, reviews and enters any new or returning paperwork of all residents
• Exercises responsibilities for case management services within the scope of licensure; develops, monitors, evaluates, and revises the treatment care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum
• Implements treatment care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible
• Manages illnesses and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs
• Manages and keeps all active prescriptions, ensures resident's medications are available as appropriate, ensures medication orders are active and accurate in eMAR system, administers medication according to MATY protocol and YFT policy, completes medication administration documentation, monitors for side effects, performs medication audits, educates and supervises med techs and other medication management duties as assigned.
• Monitors and assists with maintaining medication expiration logs and supplies of each clinic/house/school.
• Assists with maintains medication supply rooms; stocking of med carts, first aid stations, and other clinical areas. Ensures all supplies are available and not expired. Ensures all AEDs are tested according to policy and ensure all epi pen stations are stocked.
• Supports proper inventory control and assists with managing supplies and equipment.
• Participates in onboarding and development of nursing staff.
• Plans, coordinates, and conducts in-service programs designed for residents and staff to improve the quality of health care.
• Attends all training mandated by YFT and maintenance of license and certifications.
• Certified MATY Instructors: Trains all med techs according to MATY; schedules classes according to need and at discretion of the nurse manager.
• All duties and responsibilities assigned by the CEO, supervisor, or designee.
• Supports meeting the structured program of care outlined in DBHDS and DSS state standards (DBHDS: 12VAC 35-46-800; DSS: 22 VAC 40-151-720)

• Current active license in Virginia as a Registered Nurse. • CPR, First Aid, and BLS. • Experience in adolescent, psychiatric, and/or case management nursing preferred. • Bi-lingual (Spanish & English) required. • Technologically competent and familiar with electronic medical record systems. • Excellent social, organizational, and communication skills required. • Ability to apply professional knowledge to exercise independent judgement and discretion

Please note: Criminal background checks: FBI, Child Abuse and Neglect and HHS suitability

Youth for Tomorrow provides equal employment opportunities to all employees and applicants for employment and prohibits illegal discrimination and harassment based on race, sex, color, national origin, age, disability, genetics, or veteran status. Youth for Tomorrow exercises its right as a religious organization to employ people consistent with its religious beliefs, practices, and observances.