Registered Nurse – Case Manager

Decypher•Bethesda, MD
•Onsite

About The Position

The Registered Nurse – Case Manager provides comprehensive case management and referral/utilization management services, coordinating patient care across the continuum to promote quality, cost-effective outcomes. The RN serves as a patient advocate and multidisciplinary team member, managing complex and high-risk cases while supporting patients, families, and healthcare providers in accessing appropriate care and resources. The position supports service members, veterans, and their families through case and utilization management, patient education, accurate clinical documentation, and collaboration with healthcare professionals and leadership. The role is onsite at Walter Reed, Monday to Friday, from 0630 to 1500. Compensation is up to $60.00 plus H&W.

Requirements

  • Associate Degree in Nursing.
  • Graduate from a college or university accredited by the National League for Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
  • Basic Life Support (BLS) certification.
  • Possess one of the following certifications: Certified Case Manager (CCM); Certified Disability Management Specialist (CDMS); Certified Rehabilitation Registered Nurse (CRRN); Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S); Advanced Certification in Continuity of Care (ACCC); Certified Rehabilitation Counselor (CRC); Nurse Case Manager (RN-NCM); or Care Manager Certified (CMC).
  • Current, full, active, and unrestricted license to practice as a Registered Nurse.
  • Experience in Referral Management/Utilization Management (RM/UM).
  • Two to five years of current clinical subspecialty experience in Behavioral Health.
  • Knowledge of sources for patient care data, including medical records through ESSENTRIS and CHCS, 24-hour nursing reports, logs, consults, computerized data, and RMS.
  • Experience assessing adult and geriatric patients, as appropriate.
  • Experience coordinating patient care and services as part of a multidisciplinary healthcare team.
  • U.S. citizenship required.

Responsibilities

  • Coordinate patient care across the healthcare continuum and advocate for patients and families.
  • Manage complex cases involving high-risk, chronic, behavioral health, TBI, substance-related, catastrophic injury, and end-of-life needs.
  • Assess patient needs and barriers and develop personalized care plans to improve outcomes and access to services.
  • Coordinate referrals, appointments, resources, and follow-up care with patients, families, providers, and multidisciplinary teams.
  • Support active-duty service members, families, and retirees through case and utilization management.
  • Promote quality, patient-centered, cost-effective care and identify opportunities to improve healthcare delivery.
  • Educate and empower patients and families with resources, self-care guidance, and support navigating the healthcare system.
  • Maintain accurate clinical documentation and use electronic medical records, databases, and other healthcare technology effectively.
  • Collaborate across teams and provide consultation, education, and support to healthcare professionals and leadership.
  • Adhere to nursing standards, MTF policies, Joint Commission guidelines, safety requirements, and professional competencies.
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