Nurse Case Managers needed for Pediatric Medical Center in Washington DC TRAINING AVAILABLE: Multiple Roles Open for RNs with strong Clinical Experience looking for Pediatric Case Management as well a Nurse Case Managers with Adult or Geriatric Clinical Experience open to Pediatrics. Up to Six Figure Salaries based on experience! Nurse Case Manager - Discharge Planning Professional Practice/ResearchParticipate in Shared LeadershipContribute to the MAGNET JourneyEnsure nursing practice is based on evidence of best practiceAccountable to participate in the Nursing Division's Performance Improvement process (division or unit level).Participate 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.Documentation: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.Qualifications:Minimum of 2 to 3 years clinical nursing experience coupled with knowledge of case management, with emphasis on discharge planning. Ability to problem solve, multi-task and manage projects independently is a must. Knowledge of regulatory agency standards as well as current Washington DC RN licensure and Bachelor's degree in Nursing or related field is required. CCM certification highly desirable.