Top 5027 Rn Associate Partner Or Jobs

RN In Hospital Transition of Care Case Manager
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Nursing
- Microsoft Excel
- Psychiatry
Quick Apply
Registered Nurse (RN) – Forensic Nurse Examiner – St. Vincent Medical Center
Mercy Health —Toledo, OH
- Travel nursing
- Nursing
- RN License
- Hospital
- Health savings account
- Disability insurance
Registered Nurse - O.R.
Northwell Health —Norwalk, CT
- Full-time
- RN License
- BLS Certification
- Mid-level
Quick Apply
Registered Nurse (RN) Rehabilitation
UW Health Rehabilitation Hospital —Madison, WI
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse (RN) – Associate Health – St. Joseph Warren Hospital
Mercy Health —Warren, OH
- Nursing
- Current TB test
- RN License
- Health savings account
- Disability insurance
Registered Nurse (RN) Rehabilitation
TGH Rehabilitation Hospital —Tampa, FL
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse (RN) - Associate Health - Fairfield Hospital
Mercy Health —Fairfield, OH
- Full-time
- Nursing
- Current TB test
- RN License
- Health savings account
- Disability insurance
Remote Home Health RN – Medical Claims Reviewer
Broadway Ventures —Remote
- $60,000 - $63,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Customer service
- Disability insurance
- Dental insurance
Quick Apply
RN Transplant OR
AdventHealth Porter —Denver, CO
- $35.04 - $65.17 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Disability insurance
4d
Clinical Research Associate II or Clinical Research Associate II RN - Bioethics Program
St. Jude Children's Research Hospital —Memphis, TN
- $70,720 - $126,880 a year
- Full-time
- Nursing
- RN License
- Mid-level
Nurse Clinical Lead - Provider Education
Humana —Remote
- $104,000 - $143,000 a year
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Paid parental leave
- Paid holidays
8d
Senior Clinical Research Associate (level dependent on experience)
CTI Clinical Trial Services, Inc —San Francisco, CA
- Hybrid work
- Nursing
- Mid-level
- Master's degree
- Paid parental leave
- Tuition reimbursement
Quick Apply
RN
Catholic Health —West Islip, NY
- $56.39 - $73.66 an hour
- Nursing
- RN License
- Hospital
- Health insurance
- Tuition reimbursement
Registered Nurse (RN) - Lowry
Denver Health —Denver, CO
- $35.55 - $55.09 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Paid parental leave
- Paid holidays
RN OR
Corewell Health —Grand Rapids, MI
- Part-time
- Nursing
- RN License
- Mid-level
Nurse Associate (RN), Pain Management, Full-Time, Days
UChicago Medicine —Chicago, IL
- Full-time
- Nursing
- RN License
- Mid-level
- Tuition reimbursement
Registered Nurse
Catholic Health —Rockville Centre, NY
- $54.49 - $74.72 an hour
- Nursing
- RN License
- Hospital
- Health insurance
- Tuition reimbursement
Associate Dean of Academic Affairs - BSN Online
Chamberlain University —Remote
- $90,000 - $115,000 a year
- Full-time
- Nursing
- Doctoral degree
- RN License
- Paid holidays
- Disability insurance
Quick Apply
Associate Dean of Academic Affairs - BSN Online- Program Mentors
Chamberlain University —Remote
- $70,696.34 - $127,957.05 a year
- Full-time
- Remote
- Nursing
- Doctoral degree
- RN License
- Paid holidays
- Disability insurance
Quick Apply
Registered Nurse - Medical Surgical ICU
Methodist Hospital —Saint Louis Park, MN
- $44.52 - $69.50 an hour
- 12 hour shift
- Nursing
- Management
- RN License
- Health insurance
- Dental insurance
8d

I want to receive the latest job alert for Rn Associate Partner Or

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Rn Associate Partner Or jobs near

Registered Nurse Case Manager jobs in Washington, DC

Registered Nurse jobs in Fairfield, OH

Registered Nurse jobs in Grand Rapids, MI

Associate Dean jobs in Remote

Registered Nurse jobs in West Islip, NY

Registered Nurse jobs in Denver, CO

Clinical Lead Nurse jobs in Remote

Registered Nurse Rehabilitation jobs in Tampa, FL

Registered Nurse jobs in Norwalk, CT

Pain Management Nurse jobs in Chicago, IL

Registered Nurse jobs in Rockville Centre, NY

Registered Nurse jobs in Toledo, OH

Registered Nurse Home Health jobs in Remote

Registered Nurse jobs in Warren, OH

Registered Nurse Case Manager jobs in Boston, MA

Registered Nurse jobs in Chesterfield, VA

Registered Nurse Case Manager jobs in Valdosta, GA

Registered Nurse Case Manager jobs in Bay City, MI

Rn Case Manager jobs in Dallas, TX

Nurse Practitioner jobs in Omaha, NE

RN In Hospital Transition of Care Case Manager

MedStar Health -
Washington, DC

Quick Apply

Job Details

Full-time
$89,065 - $162,801 a year

Qualifications

RN License
Managing patients as a nurse case manager
Utilization management
Decision making
Resource utilization in healthcare

Full Job Description

About this Job:

General Summary of Position

An exciting new role has been added to the team, offering a unique opportunity to make a direct impact on patient outcomes at a critical point in care. The In-Hospital Transition of Care RN Case Manager partners closely with hospital discharge planners to coordinate patient care at discharge, ensuring seamless continuity across care settings and reducing avoidable readmissions through proactive coordination, patient education, and timely follow-up.

This position is based at either Washington Hospital Center or The Psychiatric Institute of Washington (PIW) and offers the opportunity to work across diverse patient populations, with flexibility to provide coverage at both locations.

In this highly collaborative and autonomous role, the RN Case Manager manages a complex caseload and takes ownership of case management program(s), driving high-quality, cost-effective outcomes while enhancing the patient experience. The role includes coordinating and managing care for members/enrollees, completing pre-authorization reviews to ensure medical necessity and timely access to services, and conducting pharmacy reviews aligned with the population served. Working alongside an interdisciplinary team, you will play a key role in discharge planning, connecting patients to the right resources, and ensuring smooth transitions across the continuum of care.

This is an excellent opportunity for a nurse who thrives in a fast-paced environment, values critical thinking and autonomy, and is passionate about improving care transitions and patient outcomes. We are committed to fostering a supportive, inclusive environment where associates from diverse backgrounds can grow, advance, and make a meaningful difference.

Primary Duties and Responsibilities

Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
Actively develops and manages complex case management cases and develops individualized plans of care according to NCQA standards/ guidelines and the District of Columbia Contract.
Acts as a liaison to MedStar Family Choice contracted vendors to facilitate care. Identifies gaps in contracted services and develops a plan to access care.
Acts as an advocate while assisting members/enrollees to coordinate and gain access to medical psychiatric psychosocial and other essential services to meet their healthcare needs. Authorizes and monitors covered services according to policy.
Assists hospital case management staff with discharge planning if applicable. Makes recommendation to alternate tier of Case Management programs or level of care as acuity necessitate.
Attends and participates in MFC staff meetings Clinical Operations department meetings Special Needs Forums work groups District/ community agencies meetings etc. as assigned. Provides input completes assignments and shares new findings with other staff. Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
Provides face to face case management in the community as the member/enrollee's health necessitate.
Demonstrates behavior consistent with MedStar Health mission vision goals objectives and patient care philosophy.
Demonstrates skill and flexibility in providing coverage for other staff.
For assigned Case Management program(s) develops strategies assessment(s) and evaluation/goal tools according to NCQA standards/ guidelines and District of Columbia Contract for the population served. Utilizes standards/ guidelines to manage and document interactions for the program (s). Responsible for verifying that assigned program utilizes up-to-date standards in the medical and behavioral health community for the population served. Keeps informed about disease processes treatment modalities and resources.
Identifies and reports potential coordination of benefits subrogation third party liability worker's compensation cases etc. Identifies quality risk or utilization issues to appropriate MedStar personnel.
Identifies inpatients requiring additional services and initiates care with appropriate practitioners.
Maintains current knowledge of MFC benefits and enrollment issues in order to accurately coordinate services.
Maintains timely and accurate documentation in the clinical software system per Clinical Operation department's policy.
Monitors utilization of all services for fraud waste and abuse.
Performs telephonic ACD line coverage for Clinical Operations' needs.
Enters authorization as appropriate to the program and sends the reviews to Medical Director as appropriate. Coordinates review decisions and notifications per policy NCQA standards/ guidelines and District of Columbia Contract for timely decision making.
Participates in meetings and on committees and represents the department and hospital in community outreach efforts.
Participates in multi-disciplinary quality and service improvement teams.

Minimal Qualifications
Education

Graduate of an accredited School of Nursing required and
Bachelor's degree preferred

Experience

1-2 years Case management experience required and
1-2 years UM or related experience required and
3-4 years Diverse clinical experience required

Licenses and Certifications

RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid RN license in the District of Columbia and/or the State of Maryland based on work location(s) Upon Hire required and
CCM - Certified Case Manager Upon Hire preferred

Knowledge Skills and Abilities

Verbal and written communication skills. Ability to use computer to enter and retrieve data. Ability to create edit and analyze Microsoft office (Word Excel and PowerPoint) preferred.

This position has a hiring range of : USD $89,065.00 - USD $162,801.00 /Yr.

Work Location: In person

Quick Apply

Refine Your Search

Rn Associate Partner Or jobs

RN In Hospital Transition of Care Case Manager

Registered Nurse (RN) – Forensic Nurse Examiner – St. Vincent Medical Center

Registered Nurse - O.R.

Registered Nurse (RN) Rehabilitation

Registered Nurse (RN) – Associate Health – St. Joseph Warren Hospital

Registered Nurse (RN) Rehabilitation

Registered Nurse (RN) - Associate Health - Fairfield Hospital

Remote Home Health RN – Medical Claims Reviewer

RN Transplant OR

Clinical Research Associate II or Clinical Research Associate II RN - Bioethics Program

Nurse Clinical Lead - Provider Education

Senior Clinical Research Associate (level dependent on experience)

RN

Registered Nurse (RN) - Lowry

RN OR

Nurse Associate (RN), Pain Management, Full-Time, Days

Registered Nurse

Associate Dean of Academic Affairs - BSN Online

Associate Dean of Academic Affairs - BSN Online- Program Mentors

Registered Nurse - Medical Surgical ICU

I want to receive the latest job alert for Rn Associate Partner Or

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected