Case Management RN (part-time)

Nemours Children's Health • Wilmington, DE

1d

About The Position

The Nurse Case Manager coordinates care for individual patients in the inpatient and Emergency Department acute care environment. Using the nursing process, the NCM assesses, plans, implements, and evaluates patient care while considering appropriate resource use, anticipatory discharge planning, and timely progression of care. The role manages care with a focus on designated clinical, operational, and financial outcomes for patient populations.

Working with the interdisciplinary team and using a family-centered process, the NCM helps improve outcomes through timely discharge from acute inpatient care, connection to post-discharge care and appointments, access to needed supplies for families and caregivers, reduced readmissions, and improved patient and family satisfaction.

Nemours Children’s Health is a nonprofit pediatric health system serving more than 1.7 million patient encounters annually across six states. Its network includes two freestanding children’s hospitals, more than 80 primary, urgent, and specialty care practices, and more than 40 hospital partnerships. The system’s Whole Child Health approach combines clinical care, research, education, advocacy, and prevention, with a commitment to culturally relevant care, reducing health disparities, and fostering inclusion and belonging.

Requirements

• Associate degree in nursing.
• Active Registered Nurse license in the applicable state(s).
• At least five years of progressive clinical experience, including utilization management, case management, or related healthcare operations.

Nice To Haves

• Bachelor of Science in Nursing (BSN).
• Case management or utilization management certification.

Responsibilities

• Assess inpatient and Emergency Department patients for discharge planning needs, social drivers of health, gaps in care, and access to post-acute services and supplies.
• Collaborate with providers, social work, and the interdisciplinary team to develop and implement patient-centered care and discharge plans with a clear timeline and estimated discharge date.
• Monitor clinical progression and discharge barriers, escalating issues to support appropriate level of care, length of stay, and resource utilization.
• Partner with Utilization Management on medical necessity and correct patient status, supporting denial prevention and appeals through timely, complete clinical documentation, provider education, and peer-to-peer reviews.
• Identify patients at risk for unsafe transitions, high Emergency Department utilization, or readmission; complete transition assessments and coordinate follow-up care and appointments.
• Communicate with patients, families, and the care team to address barriers, coordinate services, and adapt plans as clinical status or goals of care change.
• Educate patients and families about the discharge process, follow-up needs, medications, and supplies; confirm understanding and document education as appropriate.
• Initiate and coordinate referrals to internal and community resources, including home health, durable medical equipment, transportation, and pharmacy; ensure timely and accurate delivery and fulfillment of discharge resources.
• Coordinate transitions of care with outside hospital and facility case management and care coordination teams, including discharge home, transfer to another acute care facility, home services, or a skilled nursing facility.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: Associate degree