Case Management Nurse
Medix
Are you a passionate RN looking to make a meaningful impact with high-acuity patients? Join a leading health plan team where you’ll manage complex cases, advocate for vulnerable populations, and work within nationally recognized quality standards. Overview of the Role In this role, you will manage a complex population of patients with chronic conditions such as Diabetes, Hypertension, and COPD . You’ll play a critical role in improving outcomes through ongoing engagement, care coordination, and clinical oversight. What You’ll Do: Manage a caseload of up to 45 members Conduct telephonic clinical assessments and follow-ups post-discharge Maintain bi-weekly patient touchpoints Perform detailed, audit-ready documentation aligned with NCQA standards Develop and execute individualized care plans Lead complex case management for high-risk populations Coordinate care across medical, behavioral, and social services Act as a patient advocate to ensure access to essential healthcare resources Collaborate with hospital teams on discharge planning and transitions of care Identify gaps in services and implement solutions Monitor utilization, quality, and compliance (including fraud, waste, and abuse) Participate in interdisciplinary meetings, quality initiatives, and community outreach Maintain accurate and timely documentation in clinical systems ✅ Required Qualifications Active DC RN License (required upon hire) Minimum 2+ years of nursing experience 1–2 years of case management experience Experience working with high-acuity or frequently hospitalized patients Familiarity with NCQA standards and guidelines Monday–Friday, 8:00 AM – 5:00 PM Hybrid: 4 days onsite, 1 day remote This is more than a case management role—you’ll serve as a true advocate , helping patients overcome barriers and navigate complex healthcare systems while delivering measurable outcomes through meaningful engagement. If you're ready to elevate your nursing career and make a real impact, apply today or message me directly to learn more. #J-18808-Ljbffr
- ...Registered Nurse The RN is responsible for assessing patient health problems and needs, developing and implementing nursing care... ...on health maintenance and disease prevention or provide case management. Licensing or registration is required. We are looking for dedicated...SuggestedFull timeReliefLocal area
$64 - $70 per hour
...We have a Registered Nurse opportunity open now doing home health visits in Northern... ...changes to Clinical or Client Services Manager Follow up with, execute, and properly... ...client assessments as necessary Case management and coordination Accurately...SuggestedWeekly payFull timePart timeWork at officeLocal areaFlexible hours3 days per week$50 per hour
...Home Health Care is seeking a Registered Nurse (RN) Home Health for a nursing job in Alexandria... ...changes to Clinical or Client Services Manager Follow up with, execute, and... ...Perform client assessments as necessary Case management and coordination...SuggestedWeekly payFull timePart timeWork at officeLocal areaFlexible hoursNight shift3 days per week- ...Registered Nurse (RN) Joint and Spine UnitEmployment Type: Full time / 36 hours weeklyShift: Night Shift; 7pm-7am Location: Silver... ...collaborative multi-disciplinary team of Surgeons, OT/PT and Case Managers who strive for excellence in care.As a Registered Nurse you will...SuggestedHourly payFull timePart timeLocal areaFlexible hoursNight shift
$40 - $75 per hour
...Registered Nurse (RN) – Home Care Assessment & Care Plan DevelopmentLocation: Burlington, Camden, and Gloucester Counties, NJ Company... ...nursing experience preferred.Home care, hospice, geriatrics, case management, or community health experience preferred.Strong assessment,...SuggestedDaily paidContract workPart timeFlexible hours- ...Registered Nurse - Wound Care Cedar Hill Regional Medical Center GW Health is the first... ...staff and providers on wound care management Educate patients, families, and staff... ...physicians, dietitians, physical therapists, and case management Assist with product...Full timeLocal area
$87.32k - $157.29k
...Overview Are you an experienced acute care Registered Nurse looking to make a change, or are you already an RN Case Manager looking to join a dynamic team? MedStar Health is hiring a patient-focused RN Case Manager to join our team at MedStar Georgetown University Hospital...- ...patient needs as expeditiously as possible. The nurse utilizes the nursing process to assess, diagnose... ...collaborates with other health team members and the center manager to facilitate patient flow. The nurse also insures that case management and ancillary services are provided...Work at office
$44 - $60 per hour
...Peritoneal Dialysis Registered Nurse (PD RN)We are looking for a self-motivated, organized individual who is passionate about patient care and excited for the opportunity to independently manage their cases with confidence and accountability. As a Peritoneal Dialysis Registered...Monday to FridayShift work- ...NurseMacMore is seeking to fill a Registered Nurse position for a pending contract award with the... ...the Department of Labor, Office of Personnel Management, DHS, etc. regarding employees' medical treatment, disability, and case management.Perform various standard clinical...Contract workWork at office
- ...Nurse Case ManagerContract guarantee hours: 72 hours biweekly on all assignments – these guaranteed hours do not include any on-call time... ...at time of submission. 8-hour days, 32 hours per week. Case managers serve as the care coordinators for patients, caregivers, and families...Daily paidPermanent employmentContract work
- ...patient health problems and needs, developing and implementing nursing care plans, and maintaining medical records. May advise patients on health maintenance and disease prevention or provide case management. Licensing or registration is required. We are looking for...Full timeReliefLocal area
- ...Registered Nurse For CIAAs a Registered Nurse for CIA, you will have diverse and challenging opportunities for experienced nurses... ...in travel medicine, OSHA programs, acute employee health care, case management and emergency preparedness. You will provide a range of services...Overseas
- ...Per Diem Registered NurseThe Per Diem Registered Nurse will focus on client admissions, care plan development, and modification... ...keeps records of criteria for admission, and to service case assignments and case management.Works in conjunction with other health care...Daily paidImmediate startWeekend workAfternoon shift
$55 per hour
...Home Health Care is seeking a Registered Nurse (RN) Home Health for a nursing job in Laurel... ...changes to Clinical or Client Services Manager Follow up with, execute, and... ...Perform client assessments as necessary Case management and coordination Accurately...Weekly payFull timeWork at officeLocal areaNight shift- ...The Center's management company, AMSURG is a nationally recognized leader in the strategic... ...patient's privacy and dignity • Utilizes the nursing process to perform safe and... ...personnel to provide effective and efficient case management • Organizes nursing activities...Hourly payDaily paidLocal areaMonday to FridayFlexible hoursShift work
$2,275.3 per week
...Job Overview TLC Nursing Associates, Inc. is seeking an experienced Registered Nurse (RN) – Utilization Review to assess the medical... ...private insurance policies Communicate with physicians, case managers, and insurance representatives to validate treatment plans...Weekly payShift work$2,275.3 per week
...Job Overview TLC Nursing Associates, Inc. is seeking an experienced Registered Nurse (RN) – Utilization Review to assess the medical... ...private insurance policies Communicate with physicians, case managers, and insurance representatives to validate treatment plans...Weekly payLocal areaShift work$37.33 - $62.43 per hour
...Clinical Nurse II, RN | Medsurg / Neuro-Stroke | Days Howard University Hospital | Washington... ...Nurse reporting directly to the Nurse Manager and embedded on Howard University... ...therapy, speech-language pathology, and case management — you will deliver safe, effective...Full timeLocal areaShift workWeekend workDay shift- ...considered as vacancies become available. The Outpatient PACT Registered Nurse is responsible for organizing team members to achieve desirable patient outcomes through day-to-day case management. The RN functions in the Primary Care Clinic which utilizes a Patient Aligned...Permanent employmentTemporary workWork at officeImmediate startRemote workRelocation packageFlexible hours
$37.88 - $54.19 per hour
...Excellence since 2015. We have an opening for an engaged experienced Nurse who focuses on patient education and clinical outcomes. You... ...collaborative multi-disciplinary team of Surgeons, OT/PT and Case Managers who strive for excellence in care. Duties: Effectively...Hourly payLocal areaNight shift- ...Registered Nurse (Home Care) - PRN Capital City Nurses, a Care Advantage Company, is seeking a dynamic and compassionate Registered... ...Qualifications Home care or home health experience Case management experience Supervisory or leadership experience Experience...ReliefFlexible hours
$49 per hour
About the Position The Admission Nurse is responsible for the care of patients assigned... ...work with them throughout the patient’s case. Effectively communicate with referring... ...disciplines involved in patient care and case management. Benefits Paid Time Off Health/Dental/...Hourly payFull timeImmediate startRelocation packageRotating shift$87.32k - $157.29k
Job Summary The Nurse Navigator for Urology plays a critical role in guiding patients through diagnosis, treatment, and follow-up... ...Experience providing patient education, care coordination, or case management in a healthcare setting. Familiarity with managing patients with...- ...leading health plan organization is seeking a passionate RN to manage complex cases and advocate for high-acuity patients. In this role, you... ...candidate holds an active DC RN License and has over 2 years of nursing experience with case management expertise. The position...
$90k - $100k
Overview After Hours Registered Nurse / RN, Hospice Location: Washington DC Position: After Hours Registered Nurse / RN, Hospice... ...plans of care in alignment with regulatory requirements and the Case Management Recipe. Maintains timely and accurate documentation, ensures...Full timeWork at officeRemote workFlexible hours$2,196 per week
Planet Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Clinton, Maryland. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 04/21/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment...Weekly payShift work$4,000 per month
...Inpatient Psychiatry RN Case Manager (Discharge Planner) The Inpatient Psychiatry Unit (5 West) at MedStar Georgetown University Hospital... ...team of healthcare professionals, including psychiatrists, nurses, mental health counselors, occupational and art therapists and...Temporary workRelocation package- ...Description Job Description Job Title: Registered Nurse I Work Arrangement: Onsite Employment... ...'s workers' compensation, safety, and risk management programs. The Registered Nurse I provides comprehensive medical case management services in support of the Public...Contract workWork at officeLocal areaMonday to Friday
- ...Health RN Job Title: Home Health RN Profession: Registered Nurse Specialty: Home Health Duration: 13 weeks Shift: Day... .... Experience in admission assessment, adult home health, and case management is preferred. Knowledge of IV care, medication administration,...Immediate startShift work
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