Case Manager Hybrid I/II

Case Manager Hybrid I/II The Case Manager Hybrid I/II will provide case management services to patients and their families or caregivers. Assist with assessment, planning and implementation of intervention, and ensure follow‑up and coordination of services. Engage in outreach activities in the community and assist with administrative tasks as needed. All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children's National Policies and Procedures, and 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 associated with the health and well‑being of the community at large. Functional Accountabilities Participate in Shared Leadership. Contribute to the MAGNET Journey of Children’s National. Ensure nursing practice is based on evidence of best practice. Accountable to participate in the Nursing Division’s Performance Improvement process at the division or unit level. Participate in community activities. Communicate denials, high risk, or changes in level of care using accepted processes to limit financial risk to CNMC and patients’ families. Navigate internal and external systems to accurately identify or secure payers and link patients to needed services. Discharge Transitional Plan of Care Define discharge and transitional care criteria with the healthcare team to facilitate efficient care transitions. Conduct an initial assessment of patient and family to identify potential discharge barriers and needs in accordance with departmental and regulatory requirements. Develop and implement a plan of care and make referrals based on a needs assessment and available resources in conjunction with care team members. Transition care to external providers and services to achieve quality outcomes for patient and family. Provide clinical reviews to third‑party payers using nationally recognized criteria and validate authorization or denial of services. Document appropriately in ST AR. Documentation Document according to departmental policy. Qualifications Bachelor’s Degree (Required) Master’s Degree (Preferred) 5 years’ experience with at least three in an acute setting (Required) Registered Nurse in District of Columbia (Required) Current certification in Case Management or Utilization Management (Preferred) Primary Location District of Columbia – Washington Work Locations Rehab and Specialized Care, 1731 Bunker Hill Road NE, Washington 20017 Job Posting May 27, 2026 Full‑Time Salary Range $75,545.60 – $125,923.20 Equal Opportunity Statement Childrens National Hospital is an equal‑opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law. The “Know Your Rights” poster is available here, and the pay transparency policy is available here. #J-18808-Ljbffr