Children's National Hospital
Case Manager Hybrid I/II
Children's National Hospital, Washington, District of Columbia, us, 20022
Overview
The Case Manager Hybrid I/II will provide case management services to patients and their families or caregivers. Assist with assessment, participate in planning and implementation of intervention and ensure follow-up and coordination of services. Engage in outreach activities in the community. 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 in accordance with 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 relationships associated with the health and well being of the community at large.
Base pay range
$75,545.60/yr - $125,923.20/yr
Minimum education and work experience
Bachelor’s Degree (Required) Master’s Degree (Preferred) Minimum 5 years experience with at least three in a pediatric setting (Required) Registered Nurse in District of Columbia (Required) Current certification in Case Management or Utilization Management (Preferred)
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 (division or unit level). Participate in community activities.
Patient Resource Services
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 and document appropriately in ST AR.
Documentation
Document according to departmental policy.
Performance Improvement
Identify, implement, and evaluate processes to improve customer service, reimbursement and/or hospital performance. Participate in the identification of PI issues and take steps to improve unit or CRM processes. Promote the development of CRM department and other members of the healthcare team.
Organizational Accountabilities
Organizational Commitment/Identification: Anticipate and respond to customer needs; follow up until needs are met. Teamwork/Communication: Demonstrate collaborative and respectful behavior; partner with all team members to achieve goals; receptive to others’ ideas and opinions. Performance Improvement/Problem-solving: Contribute to a positive work environment; demonstrate flexibility and willingness to change; identify opportunities to improve clinical and administrative processes; make appropriate decisions with sound judgment. Cost Management/Financial Responsibility: Use resources efficiently; seek less costly ways of doing things. Safety: Speak up when unsafe behavior is observed; validate information needed for decision making; stop in the face of uncertainty and resolve situations; promote safety for patients, families, visitors and co-workers; attend to important details by practicing Stop, Think, Act, and Review.
Work Details
Primary Location: District of Columbia-Washington Work Locations: CN Hospital (Main Campus) Job: Nursing Organization: Patient Services Position Status: R (Regular) Shift: Day Work Schedule: M-F 8:30 a.m.–5:00 p.m. with weekend commitment
September 16, 2025 — Job posting date. Full-time salary range listed as 75,545.60.
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The Case Manager Hybrid I/II will provide case management services to patients and their families or caregivers. Assist with assessment, participate in planning and implementation of intervention and ensure follow-up and coordination of services. Engage in outreach activities in the community. 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 in accordance with 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 relationships associated with the health and well being of the community at large.
Base pay range
$75,545.60/yr - $125,923.20/yr
Minimum education and work experience
Bachelor’s Degree (Required) Master’s Degree (Preferred) Minimum 5 years experience with at least three in a pediatric setting (Required) Registered Nurse in District of Columbia (Required) Current certification in Case Management or Utilization Management (Preferred)
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 (division or unit level). Participate in community activities.
Patient Resource Services
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 and document appropriately in ST AR.
Documentation
Document according to departmental policy.
Performance Improvement
Identify, implement, and evaluate processes to improve customer service, reimbursement and/or hospital performance. Participate in the identification of PI issues and take steps to improve unit or CRM processes. Promote the development of CRM department and other members of the healthcare team.
Organizational Accountabilities
Organizational Commitment/Identification: Anticipate and respond to customer needs; follow up until needs are met. Teamwork/Communication: Demonstrate collaborative and respectful behavior; partner with all team members to achieve goals; receptive to others’ ideas and opinions. Performance Improvement/Problem-solving: Contribute to a positive work environment; demonstrate flexibility and willingness to change; identify opportunities to improve clinical and administrative processes; make appropriate decisions with sound judgment. Cost Management/Financial Responsibility: Use resources efficiently; seek less costly ways of doing things. Safety: Speak up when unsafe behavior is observed; validate information needed for decision making; stop in the face of uncertainty and resolve situations; promote safety for patients, families, visitors and co-workers; attend to important details by practicing Stop, Think, Act, and Review.
Work Details
Primary Location: District of Columbia-Washington Work Locations: CN Hospital (Main Campus) Job: Nursing Organization: Patient Services Position Status: R (Regular) Shift: Day Work Schedule: M-F 8:30 a.m.–5:00 p.m. with weekend commitment
September 16, 2025 — Job posting date. Full-time salary range listed as 75,545.60.
#J-18808-Ljbffr