RN Case Manager Hybrid I/II

Case Manager Hybrid I/II

Kids Are Our Everything.

Pay Range: $77,584.00 - $129,292.80 Shift: 8am-6:30pm (10 hours) with every other weekend rotation

What You'll Do: As a Case Manager Hybrid I/II at Children's National Hospital, you will serve at the heart of patient care, acting as a vital advocate and coordinator for children and their families. In this impactful role, you will lead both discharge planning and utilization review efforts, ensure a seamless, high-quality care experience while promoting continuity and positive outcomes for complex, chronic, and high-risk patients. Partnering closely with interdisciplinary teams, you will guide care planning discussions, address barriers such as social determinants of health, and connect families with essential community and financial resources, including Medicaid, Medicare, and other programs. You will manage a panel of patients, using data-driven insights to reduce avoidable admissions, proactively prevent readmissions, and optimize resource utilization. As a central hub across the care continuum, you will also review and authorize hospital days to ensure alignment with payer guidelines, helping minimize denied claims while supporting effective, efficient care delivery. This is a meaningful opportunity to make a lasting differenceempowering families, strengthening care coordination, and advancing better health outcomes for every child you serve.

What You'll Need: Minimum Education

• Bachelor's Degree (Required)
• Master's Degree (Preferred)

Minimum Work Experience

• Five (5) years' experience with at least three (3) years in an acute inpatient setting (Required)
• Extensive clinical experience in Case Management and/or Utilization Management (Preferred)
• Experience in one or more of the following areas: designate/pediatric specialty, program/project development clinical pathways, and leadership (Required)

Required Licenses and Certifications

• Registered Nurse license in DC (Required)
• Current certification in Case Management or Utilization Management (Preferred)

What You'll Receive: Benefits That Support You:

• Comprehensive health coverage, including medical, prescription, infertility, and transgender health services.
• Generous paid time off, including vacation accrual from day one, sick leave, holidays, and a personal day.
• Financial wellness support, including a 401(k) plan and healthcare and dependent care spending accounts.
• Employer-paid life, AD&D, and long-term disability coverage, with optional supplemental plans.
• Additional perks, including tuition assistance, fitness resources, employee assistance, commuter benefits, and more.

Why Join Us:

• Nationally Recognized Excellence Consistently ranked among the Top 10 Children's Hospitals in the nation by U.S. News & World Report.
• Leading Pediatric Care One of the largest and most comprehensive children's hospitals in the country, offering nationally ranked specialties and cutting-edge treatments.
• Innovation & Research A premier academic medical center with a strong commitment to pediatric research, education, and advancing the future of child health.
• Mission-Driven Culture Dedicated to providing family-centered care while fostering a collaborative, supportive environment for clinical teams.

Children's National Medical Center