Case Management Nurse
Chamber Cardio•Washington, DC
•Remote
About The Position
The Case Manager RN collaborates with the care team to develop and execute patient-centered care plans, ensuring timely care progression, safe transitions, and optimal outcomes. This role is responsible for managing patients across the care continuum, identifying barriers, coordinating services, and driving adherence to evidence-based care pathways.
Requirements
- RN compact unrestricted RN license required; BSN preferred
- 3–5+ years of case management, care coordination, or acute care nursing experience
- Strong clinical judgment and understanding of care transitions
- Experience with utilization management, discharge planning, or population health preferred
- Excellent communication, organization, and problem-solving skills
- This is a remote role, but you must be based in the United States and have access to reliable wifi.
Responsibilities
- Review cases within 24–48 hours of admission/trigger and daily thereafter to support care progression
- Partner with providers to develop and execute care plans
- Identify and address clinical, social, and system barriers impacting care and discharge
- Complete comprehensive assessments to identify patient needs, risks, and resource gaps
- Develop and coordinate individualized transition plans in collaboration with interdisciplinary teams
- Align care plans with evidence-based guidelines and organizational goals
- Facilitate safe and timely transitions, including post-discharge follow-up and referrals
- Communicate care plans clearly to patients, caregivers, and care teams
- Ensure patients and families are equipped with resources for success post-discharge
- Support appropriate utilization of services and adherence to clinical guidelines
- Identify high-risk patients and initiate interventions to reduce readmissions
- Monitor and document key metrics including LOS, avoidable delays, and care progression
- Maintain clear, timely documentation of assessments, care plans, and interventions
- Communicate effectively with interdisciplinary teams, escalating issues as needed
- Serve as a resource on care management processes and regulatory requirements
- Ensure adherence to organizational policies, NCQA standards, and payer requirements
- Participate in multidisciplinary rounds and quality improvement initiatives
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
