Pediatric Case Manager: Discharge & Care Coordination (PRN)

Children's National Hospital; United States; Hybrid; USD 51,000 - 86,000; Full time

Benefits offered by this job

Health coverage

Paid time off

401(k) plan

Life insurance

Tuition assistance

Job summary

Children’s National Hospital is seeking a Case Manager Hybrid I/II to coordinate comprehensive discharge planning and utilization review for pediatric patients across inpatient units and clinics.

You will partner with multidisciplinary teams to optimize care, ensure payer-aligned authorization, and connect families with essential resources including Medicaid and Medicare. This PRN role focuses on reducing readmissions and improving outcomes.

Qualifications

• Bachelor’s Degree required; Master’s preferred.
• 5 years’ experience with at least 3 years in an acute inpatient setting.
• RN license in DC required; Case/Utilization Management certification preferred.

Responsibilities

• Lead discharge planning and utilization review to ensure timely, high-quality care.
• Coordinate care across interdisciplinary teams to supporting complex, high-risk pediatric patients.
• Identify barriers such as social determinants of health and link families to resources and payer programs.
• Review hospital days for alignment with payer guidelines and minimize denied claims.

Skills

Discharge planning

Utilization review

Care coordination

Interdisciplinary collaboration

Education

Bachelor’s Degree

Master’s Degree

Tools

EHR systems

Job description

Children’s National Hospital is seeking a Case Manager Hybrid I/II to coordinate comprehensive discharge planning and utilization review for pediatric patients across inpatient units and clinics.

You will partner with multidisciplinary teams to optimize care, ensure payer-aligned authorization, and connect families with essential resources including Medicaid and Medicare. This PRN role focuses on reducing readmissions and improving outcomes.