Case Management Nurse: High-Acuity Care & Advocacy

Medix™; Washington (District of Columbia); Hybrid; USD 85,000 - 110,000; Full time

Job summary

A leading health plan organization is seeking a passionate RN to manage complex cases and advocate for high-acuity patients. In this role, you will coordinate care, conduct telephonic assessments, and develop individualized care plans. The ideal candidate holds an active DC RN License and has over 2 years of nursing experience with case management expertise. The position offers a hybrid work model, providing a meaningful opportunity to elevate your nursing career while making a real impact on patient outcomes.

Qualifications

• Required DC RN License must be obtained upon hire.
• Two or more years of nursing experience in a clinical setting.
• Experience in case management, especially with high-acuity patients.

Responsibilities

• Manage a caseload of up to 45 members continuously.
• Conduct telephonic assessments and follow up with patients post-discharge.
• Develop and implement individualized care plans based on patient needs.

Skills

Telephonic clinical assessments

High-acuity patient management

Patient advocacy

Care coordination

Quality compliance (NCQA standards)

Education

Active DC RN License

2+ years of nursing experience

1-2 years of case management experience

Job description

A leading health plan organization is seeking a passionate RN to manage complex cases and advocate for high-acuity patients. In this role, you will coordinate care, conduct telephonic assessments, and develop individualized care plans. The ideal candidate holds an active DC RN License and has over 2 years of nursing experience with case management expertise. The position offers a hybrid work model, providing a meaningful opportunity to elevate your nursing career while making a real impact on patient outcomes.