Children's National Hospital

RN Case Manager II

Children's National Hospital  •  $82k/yr  •  Washington, DC (Onsite)  •  3 months ago
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Job Description

RN Case Manager II260000G0

 The Case Manager II will provide case management services to patients and their families or caregivers. Assist with assessment, participate in planning and implementation of intervention and ensure follow-up and coordination of services. Engage in outreach activities in the community. Assist with administrative tasks, as needed. All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children's National Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. Children's National supports the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large. 

Qualifications

 Minimum Education
Master's Degree In a related field. (Required)

Minimum Work Experience
5 years With at least three in a pediatric setting. (Required)

Required Licenses and Certifications
Registered Nurse (Required) Current certification in Case Management (Preferred)

Functional Accountabilities
Professional Practice/Research
  • Participates in Shared Leadership.
  • Contributes to the MAGNET Journey of Children’s National.
  • Ensures that nursing practice is based on evidence of best practice.
  • Accountable for participating in the Nursing Division’s Performance Improvement process (division or unit level).
  • Participates in community activities.
Patient Resource Services
  • Communicate denials, high risk, or changes in level of care using accepted processes to limit financial risk to CNMC and patients’ families.
  • Navigate internal and external systems to accurately identify or secure payers and link patients to needed services.
Discharge Transitional Plan of Care
  • Define discharge and transitional care criteria with the healthcare team to facilitate efficient care transitions.
  • Conduct an initial assessment of patient and family to identify potential discharge barriers and needs in accordance with departmental and regulatory requirements.
  • Develop and implement a plan of care and make referrals based on a needs assessment and available resources in conjunction with care team members.
  • Transition care to external providers and services to achieve quality outcomes for patient and family.
  • Provide clinical reviews to third party payers using nationally recognized criteria and validate authorization or denial of services and document appropriately in STAR.
Documentation
  • Identify, implement, and evaluate processes to improve customer service, reimbursement and/or hospital performance.
  • Participate in the identification of PI issues and take steps to improve unit or CRM processes.
  • Promote the development of CRM department and other members of the healthcare team.Document according to departmental policy.
Performance Improvement
  • Identify, implement, and evaluate processes to improve customer service, reimbursement and/or hospital performance.
  • Participate in the identification of PI issues and take steps to improve unit or CRM processes.
  • Promote the development of CRM department and other members of the healthcare team.

Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification
  • Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication
  • Demonstrate collaborative and respectful behavior
  • Partner with all team members to achieve goals
  • Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving
  • Contribute to a positive work environment
  • Demonstrate flexibility and willingness to change
  • Identify opportunities to improve clinical and administrative processes
  • Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility
  • Use resources efficiently
  • Search for less costly ways of doing things

Safety
  • Speak up when team members appear to exhibit unsafe behavior or performance
  • Continuously validate and verify information needed for decision making or documentation
  • Stop in the face of uncertainty and takes time to resolve the situation
  • Demonstrate accurate, clear and timely verbal and written communication
  • Actively promote safety for patients, families, visitors and co-workers
  • Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance
 

Primary Location

 District of Columbia-Washington

Work Locations

 CN Hospital (Main Campus) 111 Michigan Avenue NW  Washington 20010

Job

 Nursing

Organization

 Patient ServicesPosition Status R (Regular) - FT - Full-TimeShift DayWork Schedule M-F 8:30am-5pm occasional weekends & holiday

Job Posting

 Mar 10, 2026, 10:32:59 PM

Full-Time Salary Range

 82347.2 - 137238.4
Children's National Hospital

About Children's National Hospital

Children’s National Hospital, based in Washington, D.C., was established in 1870 to help every child grow up stronger. Today, it is one of the top 10 children’s hospital in the nation and ranked in all specialties evaluated by U.S. News & World Report. Children’s National is transforming pediatric medicine for all children. The Children’s National Research & Innovation Campus opened in 2021, a first-of-its-kind pediatric hub dedicated to developing new and better ways to care for kids. Children’s National has been designated three times in a row as a Magnet® hospital, demonstrating the highest standards of nursing and patient care delivery. This pediatric academic health system offers expert care through a convenient, community-based primary care network and specialty care locations in the D.C. metropolitan area, including Maryland and Virginia. Children’s National is home to the Children’s National Research Institute and Sheikh Zayed Institute for Pediatric Surgical Innovation. It is recognized for its expertise and innovation in pediatric care and as a strong voice for children through advocacy at the local, regional and national levels. As a non-profit, Children's National relies on generous donors to help ensure that every child receives the care they need.

Industry
Healthcare & Social Services
Company Size
5,001-10,000 employees
Headquarters
Washington, DC
Year Founded
1870
Website
childrensnational.org
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