Pediatric RN Case Manager — Discharge & Utilization

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

Benefits offered by this job

Tuition assistance

Flexible scheduling

Employee health benefits

Job summary

Children's National Medical Center is seeking a Case Manager Hybrid I/II in Washington, DC. You will lead discharge planning, utilization review, and care coordination to support complex pediatric patients and families across the care continuum.

The role emphasizes collaboration with interdisciplinary teams, minimizing readmissions, and connecting families with Medicaid/Medicare and community resources. A RN license and relevant experience are required.

Qualifications

• Bachelor's Degree required; Master's preferred.
• Five years' experience with at least three years in an acute inpatient setting.
• Experience in CRM/Utilization Management and leadership is preferred.

Responsibilities

• Lead discharge planning and utilization review for complex patients.
• Coordinate care with interdisciplinary teams to prevent readmissions.
• Review hospital days to ensure payer guideline alignment and avoid denials.
• Identify barriers such as social determinants of health and connect to resources.
• Manage patient panels and improve care transitions across settings.

Skills

Case management

Utilization management

Discharge planning

Care coordination

Social determinants of health

Education

Bachelor's Degree

Master's Degree

Tools

EHR (Electronic Health Records)

Job description

Children's National Medical Center is seeking a Case Manager Hybrid I/II in Washington, DC. You will lead discharge planning, utilization review, and care coordination to support complex pediatric patients and families across the care continuum.

The role emphasizes collaboration with interdisciplinary teams, minimizing readmissions, and connecting families with Medicaid/Medicare and community resources. A RN license and relevant experience are required.