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Hospital Case Manager Jobs in Reston, VA (NOW HIRING)

Social Worker Case Manager

Fairfax, VA

$22.25 - $29/hr

Inova Fair Oaks Hospital is looking for a dedicated Social Worker Case Manager to join the Case Management Team. This role will be PRN Day Shift: Average of 2 - 3 shifts per month. Orientation will ...

New

Social Worker Case Manager

Fairfax, VA

$22.25 - $29.25/hr

Inova Fair Oaks Hospital is looking for a dedicated Social Worker Case Manager to join the Case Management Team. This role will be PRN Day Shift: Average of 2 - 3 shifts per month. Orientation will ...

New

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 ...

Case Manager

Washington, DC · On-site

$50K - $58K/yr

Case Manager (2 Full-Time, Onsite Essential) ???? Location: Rhode Island Ave NW (Washington, D.C ... Accident, Hospital, Critical Illness Plans * Employee Assistance Program * Short-Term & Long-Term ...

The Case Manager works directly with all ages of people living with HIV in accessing medical ... over the telephone, in a hospital, at the clients home, or in other healthcare settings.

Prefer a RN with at least 1 year of Case Manager experience in a hospital Benefits Reston Hospital Center, offers a total rewards package that supports the health, life, career and retirement of our ...

... hospital setting, alternative care setting such as home health or ambulatory care required. Healthcare and/or managed care industry experience. Case Management experience preferred -- Position ...

We have an exciting opportunity for you to join Reston Hospital Center which is part of the nation ... Do you want to work as a(an) Case Manager MSW where your passion for creating positive patient ...

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Hospital Case Manager information

See Reston, VA salary details

$15

$25

$44

How much do hospital case manager jobs pay per hour?

As of Jun 26, 2026, the average hourly pay for hospital case manager in Reston, VA is $25.76, according to ZipRecruiter salary data. Most workers in this role earn between $20.00 and $28.03 per hour, depending on experience, location, and employer.

What are some common challenges Hospital Case Managers face when coordinating patient care, and how can they effectively address them?

Hospital Case Managers often encounter challenges such as navigating complex discharge planning, coordinating among multidisciplinary teams, and addressing insurance or resource limitations. Effective communication, attention to detail, and strong organizational skills are essential for overcoming these obstacles. Building strong relationships with healthcare providers, social workers, and insurance representatives can help streamline care transitions and advocate for patient needs. Staying informed about community resources and hospital protocols also supports successful outcomes.

What does a Hospital Case Manager do?

A Hospital Case Manager is a healthcare professional responsible for coordinating patient care during a hospital stay. They assess patients' needs, develop care plans, facilitate communication among medical teams, and ensure patients receive appropriate services and resources. Case Managers also help with discharge planning, making sure patients transition safely to home or another facility. Their goal is to improve health outcomes while managing costs and ensuring quality care.

What is the difference between Hospital Case Manager vs Medical Social Worker?

AspectHospital Case ManagerMedical Social Worker
CredentialsRN or licensed healthcare professionalLicensed clinical social worker (LCSW) or social work degree
Work EnvironmentHospitals, healthcare facilities, patient discharge planningHospitals, clinics, community health settings, patient support
Employer & IndustryHospitals, healthcare providersHospitals, social service agencies, community organizations
Primary FocusCoordinating patient care, discharge planning, insuranceProviding emotional support, counseling, social services

While both roles work within hospital settings and require healthcare-related credentials, Hospital Case Managers focus on care coordination and discharge planning, whereas Medical Social Workers provide emotional support and social services to patients. Understanding these differences helps patients and employers choose the right professional for specific needs.

What are the key skills and qualifications needed to thrive as a Hospital Case Manager, and why are they important?

To thrive as a Hospital Case Manager, you need a background in nursing or social work, knowledge of healthcare regulations, and experience in care coordination, often supported by RN or social work licensure and case management certification (such as CCM or ACM). Familiarity with hospital information systems, utilization review tools, and electronic health record (EHR) platforms is typically required. Strong communication, problem-solving, and negotiation skills help Hospital Case Managers excel in collaborating with patients, families, and multidisciplinary healthcare teams. These competencies are essential for ensuring effective patient care transitions, optimizing resource utilization, and improving patient outcomes.
What are popular job titles related to Hospital Case Manager jobs in Reston, VA? For Hospital Case Manager jobs in Reston, VA, the most frequently searched job titles are:
What job categories do people searching Hospital Case Manager jobs in Reston, VA look for? The top searched job categories for Hospital Case Manager jobs in Reston, VA are:
What cities near Reston, VA are hiring for Hospital Case Manager jobs? Cities near Reston, VA with the most Hospital Case Manager job openings:
Infographic showing various Hospital Case Manager job openings in Reston, VA as of June 2026, with employment types broken down into 1% Locum Tenens, 3% As Needed, 63% Full Time, 31% Part Time, 1% Temporary, and 1% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $53,572 per year, or $25.8 per hour.
RN In Hospital Transition of Care Case Manager

RN In Hospital Transition of Care Case Manager

MedStar Health

Washington, DC • On-site

Full-time

Posted 10 days ago


Medstar Health rating

7.8

Company rating: 7.8 out of 10

Based on 238 frontline employees who took The Breakroom Quiz

133rd of 876 rated healthcare providers


Job description

About the 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.

What Medstar Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Medstar Health logo

About Medstar Health

Sourced by ZipRecruiter

MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Columbia, MD, US

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