RN Case Manager- Medicaid/ Community Health

RSI Recruit; Washington (District of Columbia); On-site; USD 70,000 - 110,000; Full time

Job summary

RSI Recruit is seeking an experienced RN Case Manager for Medicaid in Washington, DC. This field-based, full-time role focuses on care coordination, patient advocacy, and helping members navigate complex health needs.

The successful candidate will conduct comprehensive assessments, develop individualized care plans, coordinate medical and behavioral health services, and support transitions of care across community settings. Travel locally is required.

Qualifications

• Active RN license valid for practice in Washington, DC.
• RN Case Management or Care Coordination experience.
• Strong clinical assessment, critical thinking, and documentation skills.
• Ability to work independently and manage an assigned caseload.
• Comfortable conducting in-person visits with members in their homes and community settings.
• Willingness and ability to travel throughout Washington, DC.

Responsibilities

• Conduct comprehensive clinical and health assessments of Medicaid members.
• Develop individualized, person-centered care plans based on each member's unique needs.
• Provide ongoing nursing case management and care coordination.
• Coordinate medical, behavioral health, and social service needs.
• Conduct in-person visits with members in their homes and throughout the community.
• Assist with transitions of care, hospital follow-ups, and ongoing care coordination.
• Identify barriers to healthcare access and help members obtain appropriate services.
• Connect members with community resources, including transportation, food assistance, behavioral health services, medical care, and social support programs.
• Collaborate with healthcare providers, members, families, and community organizations.
• Maintain accurate, timely, and comprehensive case management documentation.
• Advocate for members to ensure access to appropriate healthcare services and community support.

Skills

Clinical assessment

Care coordination

Documentation

Independent work

Home visit skills

Travel readiness

Education

Registered Nurse license (DC)

Tools

EHR systems

Job description

Job Description URGENT HIRING: RN Case Manager – Medicaid / Community HealthWashington, DC | Full-Time | Monday–Friday | Field-Based Position

Are you a Registered Nurse passionate about patient advocacy, care coordination, and making a difference in your community?

We are seeking an experienced RN Case Manager to support a Medicaid population throughout Washington, DC. This is an excellent opportunity for a nursing professional who enjoys working independently, building relationships with members, and helping individuals navigate their healthcare needs.

The ideal candidate will have strong clinical assessment and case management skills, along with a passion for connecting members to the medical, behavioral health, and community resources they need to live healthier lives.

POSITION DETAILS

Position: RN Case Manager

Location: Washington, DC

Schedule: Monday–Friday

Hours: Full-time

Setting: Field-Based / Community Health

Travel: Significant local travel throughout Washington, DC

KEY RESPONSIBILITIES

• Conduct comprehensive clinical and health assessments of Medicaid members.
• Develop individualized, person-centered care plans based on each member's unique needs.
• Provide ongoing nursing case management and care coordination.
• Coordinate medical, behavioral health, and social service needs.
• Conduct in-person visits with members in their homes and throughout the community.
• Assist with transitions of care, hospital follow-ups, and ongoing care coordination.
• Identify barriers to healthcare access and help members obtain appropriate services.
• Connect members with community resources, including transportation, food assistance, behavioral health services, medical care, and social support programs.
• Collaborate with healthcare providers, members, families, and community organizations.
• Maintain accurate, timely, and comprehensive case management documentation.
• Advocate for members to ensure access to appropriate healthcare services and community support.

REQUIRED QUALIFICATIONS

• Active Registered Nurse (RN) license valid for practice in Washington, DC
• Previous RN Case Management or Care Coordination experience
• Strong clinical assessment, critical thinking, and documentation skills
• Ability to work independently and manage an assigned caseload
• Comfortable conducting in-person visits with members in their homes and community settings
• Willingness and ability to travel throughout Washington, DC

PREFERRED EXPERIENCE

• Medicaid or Managed Care experience
• Community-Based Case Management
• Complex Care Management
• Transitions of Care
• Population Health Management
• Social Determinants of Health (SDOH)
• Familiarity with Washington, DC community resources and support services

WHY CONSIDER THIS OPPORTUNITY?

• Consistent Monday–Friday schedule
• Full-time nursing opportunity
• Meaningful, community-focused work
• Opportunity to make a direct impact on patient health and wellness
• Independent role with opportunities to build relationships with members and community providers

INTERESTED IN THIS OPPORTUNITY?

If you're an experienced RN Case Manager who enjoys patient advocacy, community health, care coordination, and helping individuals overcome barriers to healthcare, we'd love to hear from you!