Pediatric RN 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

PTO

401(k) plan

Life insurance

Tuition assistance

Commuter benefits

Job summary

Children’s National Hospital in Washington, DC, seeks a Case Manager Hybrid I/II (PRN) to lead discharge planning and utilization review. You will coordinate care across inpatient units and surgical services, collaborate with multidisciplinary teams, and ensure timely, efficient care for high‑risk pediatric patients.

You’ll identify barriers, link families to Medicaid/Medicare resources, and monitor LOS and denials to optimize outcomes and reimbursement.

Qualifications

• Bachelor’s Degree required; Master’s preferred.
• Five years of experience with at least three years in an acute inpatient setting required.
• Experience in case management or utilization management preferred.
• Licensed RN in DC required; case management or utilization management certification preferred.

Responsibilities

• Lead discharge planning and utilization review efforts.
• Coordinate care planning with interdisciplinary teams to reduce readmissions.
• Identify barriers (social determinants of health) and connect families to resources.
• Review and authorize hospital days to align with payer guidelines and minimize denials.

Skills

Discharge planning

Utilization management

Care coordination

Payer coordination

Education

Bachelor’s Degree

Master’s Degree

Tools

EHR

Job description

Children’s National Hospital in Washington, DC, seeks a Case Manager Hybrid I/II (PRN) to lead discharge planning and utilization review. You will coordinate care across inpatient units and surgical services, collaborate with multidisciplinary teams, and ensure timely, efficient care for high‑risk pediatric patients.

You’ll identify barriers, link families to Medicaid/Medicare resources, and monitor LOS and denials to optimize outcomes and reimbursement.