21 case mgmt specialist jobs found

Req #: 182814 Summary Summary Continuously evaluates the quality, care, treatment and outcomes of complex patient populations. Collaborates with the patient/family and caregivers to facilitate necessary resources and options for post-discharge services to support a safe discharge. Provides consultation with physicians and other members of the interdisciplinary healthcare team to facilitate patient progression to discharge. Ensures clinical documentation supports medical necessity criteria and meets regulatory requirements. Communicates the clinical status of patients related to medical necessity criteria to the physician advisor (internal or external) and/or the Inpatient Care Transitions leadership team as needed. Monitors length of stay and documents avoidable days for delay of discharge. Reviews payer source for potential negative financial liabilities to the patient. Education Bachelor of Science...

Req #: 181446 Summary Summary Continuously evaluates the quality, care, treatment and outcomes of complex patient populations. Collaborates with the patient/family and caregivers to facilitate necessary resources and options for post-discharge services to support a safe discharge. Provides consultation with physicians and other members of the interdisciplinary healthcare team to facilitate patient progression to discharge. Ensures clinical documentation supports medical necessity criteria and meets regulatory requirements. Communicates the clinical status of patients related to medical necessity criteria to the physician advisor (internal or external) and/or the Inpatient Care Transitions leadership team as needed. Monitors length of stay and documents avoidable days for delay of discharge. Reviews payer source for potential negative financial liabilities to the patient. Education Bachelor of Science in...

Req #: 183450 Summary Bachelor of Science in Nursing (BSN) required. Must be an RN with current licensure. Preferred recent experience in acute care setting. Preferred experience in Case Management activities. Preferred experience or knowledge of InterQual criteria. Demonstrates knowledge of DRGs managed care initiatives payment methods and statistical analysis. Demonstrates understanding of managed care concepts. Must have good verbal and written communication skills. Must have excellent people skills and the ability to problem solve efficiently and effectively. Must be available to work flexible hours assuming on-call duties on weekends and other times when deemed necessary. Must be available to respond within a reasonable length of time.

Req #: 181447 Summary Summary Continuously evaluates the quality, care, treatment and outcomes of complex patient populations. Collaborates with the patient/family and caregivers to facilitate necessary resources and options for post-discharge services to support a safe discharge. Provides consultation with physicians and other members of the interdisciplinary healthcare team to facilitate patient progression to discharge. Ensures clinical documentation supports medical necessity criteria and meets regulatory requirements. Communicates the clinical status of patients related to medical necessity criteria to the physician advisor (internal or external) and/or the Inpatient Care Transitions leadership team as needed. Monitors length of stay and documents avoidable days for delay of discharge. Reviews payer source for potential negative financial liabilities to the patient. Education Bachelor of Science in...

250003I0 Clinical Instructor (RN) (PT 24 hrs/wk) - Heart and Kidney Unit - ( 250003I0 ) Description All nursing practice is based on the legal scope of practice, national and specialty nursing standards, CNMC 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. CNMC supports the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large. Directs, oversees, and maintains responsibility for clinical orientation for nursing clinical fellows. Serves as a "hands-on" direct care giving and teaching role with patients, families and nursing clinical fellows. Directly supervises activities of nursing clinical fellows. Qualifications Minimum Education BSN (Required) Minimum Work Experience...

250003HZ Clinical Instructor (RN) (PT 16 hrs/wk) - Heart and Kidney Unit - ( 250003HZ ) Description All nursing practice is based on the legal scope of practice, national and specialty nursing standards, CNMC 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. CNMC supports the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large. Directs, oversees, and maintains responsibility for clinical orientation for nursing clinical fellows. Serves as a "hands-on" direct care giving and teaching role with patients, families and nursing clinical fellows. Directly supervises activities of nursing clinical fellows. Qualifications Minimum Education BSN (Required) Minimum Work Experience...

2500039D Nurse Clinical Program Coordinator - Otolaryngology - ( 2500039D ) Description At Children's National Hospital, our world-renowned team of pediatric ear, nose and throat (ENT) specialists provides advanced, compassionate care for children with both common and complex ENT conditions. As a leading international referral center, we treat a wide range of disorders that affect hearing, speech, smell and taste. Families from across the globe trust our expertise in pediatric otolaryngology, from hearing restoration and voice therapy to airway reconstruction and aero-digestive care. Our child-focused approach combines cutting-edge treatments with a warm, supportive environment - ensuring every child receives the highest level of care tailored to their unique needs. The Clinical Program Coordinator will successfully complete the hospital and nursing orientation at CNMC. Will coordinate nursing care and services for patients and family members in...

2500031Q Nurse Navigator - Cardiology - ( 2500031Q ) Description The Nurse Navigator partners collaboratively with various interdisciplinary specialty team members and coordinates a patient care and communication plan for patients with assigned patient population to ensure continuity of care with compassion, commitment, and connection. Under the supervision of the healthcare providers, they provide patient education related to illness and planned treatment. Ensures continuity of care is maintained and staff, patient, parent safety is a priority. Ensures continuity of care is maintained and service excellence is a priority. The work schedule is Monday through Friday, 8am - 4:30pm. Qualifications Minimum Education BSN (Required) Master's Degree (Preferred) Minimum Work Experience 4 years Nursing experience (Required) 1 year Demonstrated experience in a charge nurse role in a comparable setting. (Required) 1 year Recent pediatric...

250002NV Professional Development Specialist (PT) - Nursing Education and Professional Development - ( 250002NV ) Description The Professional Development Specialist will work in collaboration with Director of Professional Development to support the plans, development, implementation and evaluation of nursing education and professional development. Support the functions of nursing professional development in advancing nursing practice and dimensions of professional development through knowledge and skill acquisition, competency validation and life-long learning. All nursing practice is based on the legal scope of practice, national and specialty nursing standards, CNMC 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. CNMC support the development of RN relationships within the community;...

250002VC Faculty Advanced Practice Provider, Rehabilitation Medicine - ( 250002VC ) Description The Advanced Practice Provider is an Advanced Practice Registered Nurse (nurse practitioners, clinical nurse specialists, nurse anesthetists) or Physician Assistant who practices within their scope of practice as appropriate in their jurisdictional area and in accordance with their organizational Medical Staff Bylaws. The provider is responsible for the management of care to patients including diagnostic and therapeutic interventions, and the assessment, implementation, and evaluation of an appropriate plan of care. Provides leadership and consultation with their respective clinical area through participation in division/department initiatives and mentorship of others. Participates in division/departmental and organization wide initiatives to represent advanced practice and leverage the role of the advanced practice provider As a faculty member, you are expected...

250002UN Professional Practice Specialist (RN) - Dialysis - ( 250002UN ) Description The Professional Practice Specialist (PPS) supports both the acute and chronic dialysis programs at Children’s National Hospital. This role serves as a clinical expert, providing leadership in practice development, education, quality improvement, and regulatory compliance. The PPS collaborates with nursing, medical, and administrative teams to ensure safe, evidence-based dialysis care and optimal patient outcomes. Responsibilities include staff education and competency validation, policy development, quality and safety initiatives, and clinical consultation across inpatient and outpatient dialysis services. Position Summary All nursing practice is based on the legal scope of practice, national and specialty nursing standards, CNMC Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered...

250002ON Registered Nurse II (PRN) - Allergy Immunology - ( 250002ON ) Description At Children’s National, children affected by allergies and complex immunologic disorders benefit from our specialists’ expertise, because our doctors treat children and only children with these conditions. Children’s National is unique in offering this focused specialization, a specialty not always available in other pediatric medical centers. The team ensures greater access for children and teens to pediatric experts in asthma and allergies, as well as primary (inherited) and secondary (acquired) immune system disorders. 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...

250002MZ RN Shift Coordinator Inpatient Psych Unit (Night Shift 12 hours)) - ( 250002MZ ) Description The inpatient Child Psychiatric Unit is a 12-bed unit. It is a short-term child oriented program designed to provide crisis intervention and stabilization to children 3-13 years of age. The average length of stay is three to seven days. Each patient receives an initial psychiatric evaluation upon admission. While on the unit treatment may include additional psychological and medical evaluations as needed. The treatment team can consist of the following: Attending Psychiatrist, Individual Therapist (Residents/Fellows), Medical Students, Psychology Interns, Family Therapist (LSW), Expressive Art Therapist, Educational Assistant, Registered Nurses, and Child Psychiatric Specialists. The Adolescent Psychiatric Unit (APU) is a 14-bed short-term treatment unit that provides an extensive bio-psychosocial and treatment services to the...

2500026R Professional Practice Specialist (RN) - Neuroscience Unit - ( 2500026R ) Description NeuroScience Unit (NSU): is a 18 bed monitored unit (surveillance monitoring cameras, Intracranial pressure and cardio/respiratory monitoring) providing family centered nursing care to patients of all ages- newborns to young adults-with Neurology and Neurosurgery problems, including, but not limited to: · Post-operative Neuro-surgery · Seizures · Video Electroencephalography (VEEG) monitoring · GRID monitoring (intraoperative subdural VEEG monitoring) · Extraventricular drains · Encephalitis · Guillain-Barre syndrome · Neurologic trauma All nursing practice is based on the legal scope of practice, national and specialty nursing standards, CNMC Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered...

250002HI **PRN ECMO Specialist-RN - ( 250002HI ) Description ECMO Specialist is a registered Nurse who will function as an identified resource to staff in a service area to provide comprehensive patient care to a variety of patients. The RN will incorporate all members of the healthcare team to plan and deliver patient care. Will provide patient assessments and recommendations for continuity of care and will successfully deal with the most complex clinical problems as they relate to ECMO. Will demonstrate expanded knowledge base through participation in program projects and activities. May be transferred into regular staffing as required, for urgent/emergent situations. Qualifications Minimum Education Bachelor's Degree Graduate from an approved school of nursing Must be licensed to practice in the District of Columbia. (Required) BSN (Preferred) Minimum Work Experience 2 years Related clinical experience in a comparable setting....

2500019Z RN *NICU Experienced* Registered Nurse| $25K Sign On | Join one of the top NICU teams in the world! - ( 2500019Z ) Description Children's National Hospital is seeking NICU experienced RNs to join our World Class Team! At Children’s National, our NICU is designated Level IV, providing the highest level of neonatal care for the more than 1,000 babies we see each year. The Children's National NICU is one of the only Level IV NICUs in Maryland, Virginia and Washington, D.C. Our commitment to providing our patients and families with excellent care is reflected by our Neonatology division’s #2 ranking nationally from U.S. News & World Report. Our neonatology team is uniquely qualified to treat NICU patients with the most innovative therapies available. Our NICU has medical team and surgical teams who can take care of babies who have a condition at birth requiring surgery. Other special needs your baby may have will be...

250002TT Registered Nurse II PRN Inpatient Psych Unit - ( 250002TT ) Description Child Psychiatric Unit is a 12-bed unit. It is a short-term child oriented program designed to provide crisis intervention and stabilization to children 3-13 years of age. The average length of stay is three to seven days. Each patient receives an initial psychiatric evaluation upon admission. While on the unit treatment may include additional psychological and medical evaluations as needed. The treatment team can consist of the following: Attending Psychiatrist, Individual Therapist (Residents/Fellows), Medical Students, Psychology Interns, Family Therapist (LSW), Expressive Art Therapist, Educational Assistant, Registered Nurses, and Child Psychiatric Specialists. Adolescent Psychiatric Unit (APU) is a 14-bed short-term treatment unit that provides an extensive bio-psychosocial and treatment services to the adolescent population between 14-17...

2500027V Registered Nurse (RN) II - Cardiac Intensive Care Unit (CICU) - ( 2500027V ) Description Full-Time | Rotating Shifts | $25,000 Sign-On Bonus Children’s National Hospital is the region’s leading provider of critical care for seriously ill and injured infants and children. We offer the only Level IV Pediatric Intensive Care Unit and specialized Cardiac ICU (CICU) in the greater Washington, DC area. In our state-of-the-art CICU, our team of pediatric heart specialists is dedicated to saving and improving the lives of our most vulnerable patients. The Cardiac ICU provides subspecialty care for critically ill patients with congenital, acquired cardiovascular or related diseases. The 26-bed unit integrates the latest technology in a family friendly environment. The multidisciplinary team is dedicated to improving outcomes for children through innovation and research. The CICU staff includes an integrated cardiac team with all...

Job Description Description Have you ever considered a role in Care Management? UNC Health in Hillsborough is the place for you! What is the schedule? 40 hrs/week (Five 8-hour shifts) Weekend rotation Holiday rotation No Nights No on-call Free Parking! Who are we looking for? Experienced RNs and RN Care Managers who: Have at Least 2 years of RN inpatient in an Acute Care setting (Preference given to candidates with Care Manager experience) Have the interest and drive to direct safe discharge process. Enjoy advocating for and leading patient care progression Want to become part of a supportive team in a positive environment. Want to expand your knowledge and experience in a Care Manager career at UNC Health in Hillsborough If this opportunity interests you…apply now! Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and...

Job Description Description Have you ever considered a role in Care Management? UNC Medical Center is the place for you! What is the schedule? 40 hrs/week with flexible schedule options available Weekend rotation Holiday rotation No Nights No on-call Who are we looking for? Experienced RNs who: Have at least 2 years of RN experience (preferably in Cardiac, Surgery, and Trauma/Burns) Have an interest in driving a safe discharge process Enjoy advocating for patient needs and care progression Thrive in a team environment Would like to learn how to be a Care Manager or would like to continue their Care Manager career at UNC Medical Center If this sounds like you…apply now! Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in...

Job Description Description UNC Health Southeastern in Lumberton, NC seeks a Thoracic/Vascular Advanced Practice Provider to join our community-based practice of Cardiologist, Interventional Cardiologist, Cardiology Fellows, a Vascular Surgeon, a Thoracic Surgeon, and APPs. RECOGNIZED FOR HIGH QUALITY UNC 2025: American College of Cardiology NCDR Chest Pain ̶ MI Registry Platinum Performance Achievement Award 2024-2025 US News & World Report's Best Hospitals Report: Best Regional Hospitals for Equitable Access List; Best Hospitals in North Carolina for the Coastal Plain Region List; and High Performing in Seven Adult Procedures and Conditions including Heart Attack, Heart Failure, Diabetes, Kidney Failure, Stroke, COPD, and Pneumonia OPPORTUNITY HIGHLIGHTS Practice Hours: Monday-Friday 8:30 am – 5:00pm Schedule is split with days in the clinic and in the...