Nursing Jobs in Chester, PA
$81,670 - $104,130 / year
SHIFT: Day (United States of America) Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career. CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview Children's Hospital of Philadelphia is seeking a Registered Nurse for their outpatient Very Early Onset (VEO) Inflammatory Bowel Disease Program. This position will be a hybrid schedule Monday-Friday. The shift will be based off of the operational need. GI, IBD, ambulatory, primary care, telephone triage and/or insurance verification experience preferred. Practices at the level of a competent to proficient practitioner of nursing. Demonstrates competence in caring for patients with complex problems, as well as complying with the administrative policies and clinical protocols as outlined in the policy and procedure manuals. In addition, demonstrates clinical leadership skills through contribution to standards of care and division goals. Serves as a role model for other staff and a preceptor for new employees and participates in endeavors to increase nursing knowledge. Administratively responsible to the Manager and Nursing Director for nursing practice issues. What you will do Practice Follows Nursing Process to deliver safe care: assessment, planning, implementation, and evaluation. Anticipates and synthesizes complex assessment data to best determine and influences total plan of care, pertinent data to be shared with care team, and tasks to be delegated. Collaborates with family, team members and other caregivers to coordinate all facets of patient care, planning with the multidisciplinary team. Manages care for complex patients and anticipates needs, delegating care as necessary to other team members. Identifies patient response, communicates changes to physicians, family and other team members and contributes to revised plan of care. Documentation reflects outcomes and appropriate revision of patient care provided and utilizes current hospital standards, policies and procedures. Professionalism/Leadership Role models appearance and behavior that promote a positive image of Nursing. Role models how to interact with parents/patients and colleagues using respect and dignity while listening for avenues to improve on the ideal patient experience and anticipate patient/family needs. Demonstrates an understanding of the impact on the team by arriving to work on time; predicts challenges and obstacles and plans for how to minimize a negative impact on the patient/ family and colleagues. Provides an accurate patient status report to members of the team that reflects nursing interventions, patient outcomes and alterations to plan of care. Chairs and/or participates in unit/departmental Shared Governance councils. Facilitates and promotes change in the unit environment with a focus on improving the ideal patient experience. Leads unit improvements and measures outcomes. Assures that staff incorporates professional standards of practice and regulatory requirements into nursing care provided. Research Reads, analyzes and synthesizes nursing and other scholarly articles and research studies; shares knowledge with unit staff in a formal format. With assistance applies research findings to clinical practice. Seeks opportunities to participate in research studies or answer simple research questions. Learning Identifies learning needs of self and others and assists in the development of a learning plan. Applies education and training from departmental in-services and external sources to unit practices to enhance Nursing practice. Assists in developing and utilizes patient education materials relevant to patient population. Participates in development/ presentation of staff education programs geared to meet unit and select departmental needs. Demonstrates health care informatics competency in order to manage patient care, outcome data and current and emerging health care technology. Resource Management Participates in promoting quality, efficient and cost effective care. Monitors own usage of supplies and equipment/identify opportunities for improvement and makes recommendations. Manages own time to accomplish direct/indirect care in a cost efficient manner. Additional responsibilities for the Specialty Care Site Nurse Provides oversight for clinical care provided at the site Creates staff assignments with consideration for staff skill and patient-provider needs. Provides opportunities for staff to practice to the full scope of licensure or certification. Assures regulatory compliance and readiness at the state, federal, and all other applicable regulatory agencies. Executes site plans to improve patient/family experience by identifying trends and establishing systems for improvement. Coaches and supports clinical staff in providing evidence-based, outcome-focused ambulatory care. Takes the lead in onboarding new clinical staff, coordinating orientation, and ensuring confirmation of needed competencies. Partners with the site manager to manage clinical (non-provider) staff performance through coaching, counseling, goal setting, anecdotal and annual performance appraisals. Creates a work climate that achieves high-level staff engagement, measured through department-specific metrics. Leads collaborative efforts for patient population-based outcomes through clinical practice, education, research/evidence-based practice, and consultation. Responds to all patient medical and behavioral emergencies, and ensures team's readiness to respond. Acts as Safety Coach and leads incident investigations and remediation plans. Acts as the Infection Prevention and Control lead at the site. Education Qualifications Technical Diploma Nursing - Required Bachelor's Degree Nursing - Preferred Experience Qualifications At least three (3) years pediatric experience - Required Skills and Abilities Computer Competency Basic use of a computer (mouse, keyboard, printer, USB ports). Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype). Web browsing, intranet search, document access. Use of shared network file space. Basic use of patient facing technology. (e.g. IV pumps, point of care devices, CR monitors). Navigation and use of clinical communication systems. Information Literacy Determines the nature and extent of clinical information needed and uses the appropriate technology to access it. Accesses needed information effectively and efficiently. Evaluates information and its sources critically and appropriately incorporates it into clinical practice. Evaluates outcomes of the use of information. Information Management Literacy Navigation of the electronic health record system. Ability to locate and review specific patient data in various clinical information systems. Effectively uses clinical decision support tools. Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems. Ability to collect clinical data using quality improvement tools. Licenses and Certifications Registered Nurse (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Registered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (New Jersey) - New Jersey State Licensing Board - upon hire - Required and Basic Life Support (BLS) - issued through on organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross). - upon hire - Required To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more. EEO / VEVRAA Federal Contractor | Tobacco Statement SALARY RANGE: $81,670.00 - $104,130.00 Annually Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly. ------------------- At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits. 
$72,800 - $130,000 / year
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together We support providers who care for UnitedHealthcare (UHC) Medicaid and CHIP members across five counties in southeastern Pennsylvania: Philadelphia, Montgomery, Bucks, Chester, and Delaware. Our team includes a Clinical Quality Manager, a Quality Director, and a Quality Nurse. This role will serve as the second Quality Nurse on the team. Within our same department we have a member outreach team also and another responsible for NCQA policy and Performance Improvement Projects. Our primary goal is to promote our local Pay‑for‑Performance program and support providers in achieving the highest possible incentive outcomes by meeting HEDIS® and state quality measures. In addition, we provide ongoing support to provider groups engaged in value‑based contracts, which also include HEDIS® and state‑mandated quality measures tied to defined performance benchmarks. You'll enjoy the flexibility to work remotely * within Montgomery and surrounding counties as you take on some tough challenges. Primary Responsibilities Quality Program Leadership & Provider Support Oversee ongoing provider practice engagement and community education related to state specific quality measures Collaborate closely with the Quality Manager and Quality Director to coordinate an interdisciplinary approach that improves provider's performance Serve as the primary resource for provider focused clinical quality improvement and management programs Educate providers and office staff on quality program requirements, including analysis of provider level outcomes, monitoring of key metrics, and support in meeting quality standards, contractual obligations, and pay for performance targets Clinical Quality & Compliance Ensure activities align with State, CMS, NCQA, and other regulatory requirements Support providers in evaluating member care, identifying care gaps, and developing action plans using evidence based guidelines and quality tools (HEDIS®, NCQA, CMS, state specifications) Conduct onsite medical record audits to assess coding, documentation, quality compliance, and service delivery standards Investigate documentation gaps or system issues impacting measure performance, provide feedback, and monitor resolution to completion Data Analysis, Reporting & Record Management Analyze quality data to identify trends, opportunities for structured data, and gaps in care at the provider and member levels Maintain care opportunity reports, track encounter history, and support quality related studies or initiatives as directed by the Health Plan Support medical record collection and abstraction processes for Pre Season (April-January), Hybrid (January-April), PAPM Maternity (April-July) and other review periods to optimize measurement and reporting Prepare and distribute reporting, and analytics related to care gaps, performance trends, and member outreach opportunities Provider Practice Transformation & Education Lead targeted practice level quality improvement initiatives through clinical education and deployment of approved materials The role assists contracted providers with analyzing member care, trending quality compliance at the provider level, and developing action plans and programs to support provider practices in continuous quality improvement using approved clinical practice guidelines, HEDIS®, CMS, NCQA and other tools Provider education regarding the quality improvement program involves analysis and review of quality outcomes at the provider level, monitoring, measuring, and reporting on key metrics to assist providers in meeting quality standards, state contractual requirements and pay for performance initiatives based on HEDIS® measures Deliver training on documentation, coding, billing, state mandated quality metrics, profiling, pay for performance methodologies, and medical record review criteria Serves as subject matter expert (SME) for assigned HEDIS®/ State Measures, preventive health topics, leads efforts with clinical team to research and design educational materials for use in practitioner offices; serves as liaison with key vendors supporting HEDIS® / State Measures; consults with vendors to design and implement initiatives to innovate and then improve HEDIS®/State Measure rates Care Gap Closure & Targeted Quality Improvement Drive closure of open care opportunities, including preventive services, chronic condition management, and other quality measures through HEDIS® data collection Identify population level barriers to care and recommend evidence based strategies to close clinical gaps and improve outcomes Provide follow up education or interventions for practitioners based on chart audit findings to support continuous quality improvement Relationship Management & Community Engagement Build and maintain solid relationships with internal and external stakeholders, including providers, practice staff, community organizations, and public health partners Participates, coordinates, and/or represents the Health Plan at community-based organization events, clinic days, health department meetings, and other outreach events focused on quality improvement, member health education, and disparity programs as assigned Document and escalate non clinical or service related provider concerns to appropriate departments (Provider Relations, Chief Medical Officer, etc.) Operational & Cross Functional Collaboration Coordinate with other departments on projects and initiatives that intersect with quality performance, regulatory activities, or provider engagement Work independently and within a highly matrixed team environment, managing competing priorities while meeting deadlines Perform additional duties as assigned by Quality Leadership Challenges of the role This Role Can Be Challenging For Individuals Who Struggle with managing multiple priorities at once, as quality work often involves juggling several projects, deadlines, and stakeholders simultaneously Are not naturally self sufficient or self motivated, since the role often requires taking initiative, problem solving independently, and driving improvements without constant direction Are uncomfortable working with data, including reviewing and analyzing information in Excel, running or interpreting reports, and creating clear, professional presentations Do not feel confident presenting information or speaking in public, as sharing findings with leadership, committees, or clinical teams is a core part of the work Prefer routine, predictable tasks, because quality roles frequently shift based on organizational needs, audit findings, or emerging quality concerns Have difficulty navigating change, as the job involves implementing new workflows, policies, and performance improvement initiatives across teams Are uncomfortable giving feedback or addressing performance gaps, even in a constructive, supportive way Do not enjoy collaborating across multiple departments, since relationship building with clinicians, leadership, and operational partners is essential Struggle with regulatory or compliance details, as the role requires understanding, interpreting, and applying standards from accrediting and regulatory bodies Have trouble documenting processes, writing summaries, or communicating findings clearly and concisely You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Registered Nurse licensure in the state of PA Experience in clinical quality, patient safety, risk management, or performance improvement Experience leading or facilitating performance improvement within scope Knowledge of HEDIS® measures technical specifications Familiarity with quality measurement tools, such as dashboards, scorecards, databases, or EHR reporting tools Intermediate proficiency in Microsoft Office applications, particularly Excel and PowerPoint Demonstrated solid documentation and organization skills Willingness to travel to community-based events for assigned groups up to 10% Driver's License and access to reliable transportation Key Competencies Attention to detail and accuracy Critical thinking and clinical judgment Collaboration and relationship building Ability to educate providers or administrative staff and provide feedback constructively on performance Adaptability and comfort with change All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. 
The registered nurse develops, implements and evaluates the nursing plan of patient care and implements the medical plan of care in collaboration with all disciplines. Professional education, training or additional certifications may be required by specialty area. Education Experience Other Graduate of accredited school of nursing Required General Experience Relevant Experience Required Licenses PA Registered Nurse License Required Basic Life Support Required 
