Pediatric Case Manager - Discharge & Care Coordination

Children's National Hospital; Washington (District of Columbia); Hybrid; USD 51,000 - 86,000; Part time

Benefits offered by this job

Health coverage

Paid time off

401(k) plan

Life insurance

AD&D

Long-term disability

Tuition assistance

Commuter benefits

Job summary

Children’s National Hospital is seeking a Case Manager Hybrid I/II in Washington, DC. You will drive discharge planning and utilization review for complex pediatric cases, coordinating with a multidisciplinary team to ensure quality, efficient care and optimal resource use.

The role emphasizes identifying barriers, linking families to Medicaid/Medicare resources, and documenting care plans in the EHR. RN licensed in DC with 5 years of related experience is required or preferred.

Qualifications

• Bachelor’s degree required; Master’s preferred.
• Five years’ experience, with at least three in an acute inpatient setting.
• Active DC RN license; current case/utilization management certification preferred.

Responsibilities

• Lead discharge planning and utilization review for complex, high‑risk patients.
• Coordinate care with interdisciplinary teams to ensure quality outcomes.
• Identify barriers (including social determinants) and connect families to resources.
• Review and authorize hospital days per payer guidelines to minimize denials.
• Document assessments and plans in the EHR with timely escalations.

Skills

Discharge planning

Utilization management

Care coordination

Data-driven decision making

Education

Bachelor’s Degree (Required)

Master’s Degree (Preferred)

Job description

Children’s National Hospital is seeking a Case Manager Hybrid I/II in Washington, DC. You will drive discharge planning and utilization review for complex pediatric cases, coordinating with a multidisciplinary team to ensure quality, efficient care and optimal resource use.

The role emphasizes identifying barriers, linking families to Medicaid/Medicare resources, and documenting care plans in the EHR. RN licensed in DC with 5 years of related experience is required or preferred.