HSCPC RN Case Manager

Job Description

Job Description

Job Title: HSCPC RN Case Manager

Location: Washington DC

Compensation: $80,000 - $115,000 / Annually / Based on years of experience

Benefits: This position is eligible for medical, dental, vision, and 401(k).

About Our Client:

Our client is a large, mission-driven healthcare organization known for its collaborative culture and commitment to high-quality patient care. This opportunity offers strong executive visibility and the ability to work closely with senior leadership in a highly team-oriented environment.

Job Description:

Addison Group is partnering with our client to identify an experienced RN leader for a Case Management leadership opportunity. This role will oversee daily operations within a highly collaborative, multidisciplinary clinical resource management team focused on patient throughput, utilization management, intake coordination, discharge planning, and care transitions across complex pediatric inpatient services.

The ideal candidate is a proactive, hands-on nursing leader who thrives in a highly data-driven, fast-paced clinical environment and enjoys working closely alongside their team to drive operational excellence, high-quality care coordination, and strong patient and family outcomes in a pediatric specialty setting.

Work Schedule:

• Full-time, onsite position
• Monday – Friday | 8:30 AM – 5:00 PM

Key Responsibilities:

• Oversee referral management, admission coordination, and patient flow through the continuum of care
• Conduct clinical assessments (in-person or telephonic) for admission appropriateness
• Develop individualized care plans and discharge goals in collaboration with care teams and families
• Coordinate transitions of care including home health, DME, medications, and transportation
• Partner with physicians, therapists, social work, payers, and external providers
• Ensure payer authorizations and benefit verification accuracy throughout admission
• Identify and resolve barriers to discharge and care progression
• Support caregiver education and patient/family readiness for discharge
• Maintain strong relationships with referral hospitals and community partners
• Monitor KPIs related to utilization, length of stay, and discharge efficiency
• Participate in process improvement and departmental performance initiatives

Qualifications:

• BSN required (MSN preferred)
• Active RN license in Washington, DC (or ability to obtain)
• Minimum 5 years of clinical nursing experience (pediatrics strongly preferred)
• Minimum 2 years of leadership or supervisory experience in healthcare
• Pediatric ICU / NICU or acute pediatric experience strongly preferred
• Experience in case management, ambulatory care, or community/home health preferred
• Strong communication, critical thinking, and independent decision-making skill

Perks:

• Competitive compensation package with bonus opportunity
• High-impact leadership role with executive exposure
• Collaborative and supportive team culture
• Opportunity to influence operational improvements within a growing healthcare organization
• Stable leadership team with strong organizational support

Additional Details:

• This opportunity is open due to an internal organizational transition and restructuring initiative
• The department supports operations seven days a week, requiring leaders to maintain occasional accessibility outside standard business hours
• Interview process may include an onsite panel interview and/or shadow experience followed by a virtual final discussion

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

#HC5