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Ltss Rn Case Manager Jobs in Washington (NOW HIRING)

MedStar Health

Field RN Case Manager

Washington, DC · On-site

$88K - $112K/yr

The Field RN Case Manager will be responsible for the District of Columbia Region. This position is responsible for up to 85% travel to our MedStar Family Choice District of Columbia Enrollees. The ...

MedStar Health

Field RN Case Manager

Washington, DC · On-site

$89K - $113K/yr

The Field RN Case Manager will be responsible for the District of Columbia Region. This position is responsible for up to 85% travel to our MedStar Family Choice District of Columbia Enrollees. The ...

Inova

Registered Nurse (RN) Case Manager

Alexandria, VA · On-site

$86K - $140K/yr

Inova Alexandria Hospital is looking for a dedicated Experienced Registered Nurse Case Manager 1 to join the Case Management Team. This role will be Full-Time; Monday - Friday, rotating weekends.

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Ltss Rn Case Manager information

What is an LTSS RN case manager?

LTSS RN Case Managers are Registered Nurses who specialize in managing and coordinating Long-Term Services and Supports (LTSS) for individuals with chronic illnesses, disabilities, or functional limitations. They assess patient needs, develop care plans, and connect clients to necessary medical, social, and community resources. Their goal is to improve patient outcomes by ensuring continuity of care, facilitating communication among providers, and advocating for the client's health and well-being. LTSS RN Case Managers often work with elderly populations, those with disabilities, and individuals needing long-term care services.

What are the key skills and qualifications needed to thrive as an LTSS RN case manager, and why are they important?

To thrive as an LTSS RN Case Manager, you need an active RN license, a strong background in clinical assessment, care planning, and knowledge of long-term services and supports (LTSS). Familiarity with case management software, electronic health records (EHRs), and sometimes certification such as CCM (Certified Case Manager) is typically required. Excellent communication, organizational skills, and the ability to advocate for patients are crucial soft skills for this role. These skills ensure coordinated, patient-centered care that improves outcomes and efficiently connects individuals to essential services.

What are some common challenges faced by LTSS RN case managers and how are they typically addressed?

LTSS RN Case Managers often encounter challenges such as coordinating care across multiple providers, managing complex patient needs, and navigating insurance or Medicaid requirements. Effective communication, strong organizational skills, and a thorough understanding of community resources are essential to overcoming these obstacles. Collaboration with interdisciplinary teams and regular training on policy updates also help RN Case Managers provide effective and timely support to their clients.

What is the difference between Ltss Rn Case Manager vs Home Health Nurse?

AspectLtss Rn Case ManagerHome Health Nurse
CredentialsRegistered Nurse (RN) license, case management certification often preferredRegistered Nurse (RN) license, specialized in home health care
Work EnvironmentCase management for long-term services and supports, often in clients' homes or clinicsProviding direct patient care in patients' homes or community settings
Employer & IndustryHealthcare agencies, Medicaid/Medicaid managed care organizationsHome health agencies, hospitals, private practices

While both roles require RN licensure and involve patient care, the Ltss Rn Case Manager primarily coordinates long-term support services and manages care plans, often in a case management setting. In contrast, the Home Health Nurse provides direct clinical care to patients in their homes. The roles differ mainly in focus: coordination versus direct care, though both are vital in home-based healthcare.

Are RN case managers in demand?

Registered Nurse (RN) case managers are in high demand due to the growing need for healthcare coordination, especially in managed care and home health settings. Their skills in patient assessment, care planning, and documentation are essential, and employment opportunities are expected to increase as healthcare systems focus on cost-effective, patient-centered care.

Is being a licensed clinical social worker case manager worth it?

A licensed clinical social worker (LCSW) case manager typically earns a competitive salary and plays a vital role in coordinating patient care, often working in healthcare or mental health settings. The role requires strong communication, assessment skills, and licensure, and can offer job stability and opportunities for specialization. Whether it is worth it depends on personal career goals and interest in social work and case management tasks.

What cities in Washington are hiring for Ltss Rn Case Manager jobs?

Cities in Washington with the most Ltss Rn Case Manager job openings:

Infographic showing various Ltss Rn Case Manager job openings in Washington as of August 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution.

Registered Nurse (RN) Case Manager - PRN

Leesburg, VA • On-site

Inova
Health Care and Social Assistance • 10K+ employees
Learn more about Inovaexternal

Other

Medical, Dental, Vision, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Inova Health System rating

7.5

Company rating: 7.5 out of 10

Based on 261 frontline employees who took The Breakroom Quiz

Job description


Inova Loudoun Hospital is looking for a dedicated Registered Nurse Case Manager 1 to join the Case Management Team. This role will be PRN (3 night shifts per months)
Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.
Featured Benefits:
  • Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
  • Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
  • Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
  • Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
  • Work/Life Balance: offering paid time off, paid parental leave
Registered Nurse (RN) Case Manager 1 Job Responsibilities:
The RN Case Manager 1 provides discharge planning and continuity of care for assigned patients in acute and post-acute settings. Provides coordination of services and acts as key liaison between patients, families and interdisciplinary healthcare members. Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities. Responsible for the timely regulatory compliance and facilitation of precertification and payer authorization processes when indicated. Actively participates in clinical performance improvement activities.
Registered Nurse (RN) Case Manager 1 Job Responsibilities:
  • Collects delay and other data for specific performance and/or outcome indicators. Assists in the collection and reporting of resource and financial indicators including acute and post-acute case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. Collects, analyzes and addresses variances from plans of care and care paths with physicians and/or other members of the healthcare team. Uses concurrent variance data to drive practice changes and positively impact outcomes. Documents key clinical path variances and outcomes which relate to areas of direct responsibility (e.g. discharge planning, chronic disease planning).
  • Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently. Ensures safe care to patients by adhering to policies, procedures and standards within budgetary specifications including time management, supply management, productivity and accuracy of practice. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency. Supports department based goals which contribute to the success of the organization.
  • Provides discharge planning and continuity of care for assigned patients in the acute and post-acute setting. Initiates and facilitates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated. Collaborates with the interdisciplinary healthcare team, patients and families in the assessment and coordination of discharge planning needs, delivery of post-discharge planning needs, delivery of post-discharge services and transition of patients from hospitals to the discharge setting as well as ongoing care in the community. Documents relevant discharge planning information in medical records according to department standards and/or care management plans.
  • Collaborates/communicates with internal and external case managers. Understands pre-acute and post-acute resources. Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare team members. Work closely with members of patients' healthcare teams to manage and coordinate all areas of patients' care. Works holistically to ensure that healthcare plans and discharge plans meet the physical, social and emotional needs of patients.
  • Provides educational resources and/or referrals to patients and patients' families to address identified needs such as social or financial. Acts as an advocate for patients to resolve barriers to care progression. Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities.
  • Discusses payer criteria and issues on a case by case basis with clinical staff and follows-up to resolve problems with payers as needed. Applies approved clinical criteria to monitor appropriateness of admissions, continued stays or post-acute setting appropriateness and documents findings based on department standards.
  • Identifies at risk populations by using approved screening tools and following established reporting procedures. Monitors LOS and ancillary resource use, depending on inpatient stay or outpatient program criteria, on an ongoing basis and takes actions to achieve continuous improvement efficiencies in both areas. Refers cases and issues appropriately to resolve barriers to care progression.
  • Participates in the assessment of patients' clinical and psychosocial needs through review of patient information, personal contact with patients/families and interdisciplinary healthcare team members. Communicates routinely with patients, families, interdisciplinary healthcare team members and other appropriate parties with regard to the status of patients' care plans and progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary. Works with the multidisciplinary team to address/resolve system problems impeding diagnostic or treatment progress. Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge. Ensures that all elements critical to patients' care plans have been communicated to the patients/families and members of the healthcare team.
  • Performs other duties as assigned.
Minimum Qualifications:
  • Certification: Basic Life Support
  • Licensure: Licensed or eligible for licensure in the Commonwealth of Virginia as a Registered Nurse or an active multi-state Registered Nurse license
  • Experience: 1 year of case management and/or clinical care experience
  • Education: Bachelor's Degree Nursing or Associate's Degree. If RN has an Associate's Degree, within 2 years of date of hire, they must meet with their nurse leader and conduct the following: 1.) Identify which accredited school they plan to attend 2.) Provide a written plan with anticipated BSN completion date 3.) Submit a review of transcripts from the school indicating the required pre-requisites and timeline for taking the courses 4.) Complete BSN within 5 years of start date.
Preferred Qualifications:
  • One (1) year of previous Inpatient (hospital) case management experience and case management discharge planning is highly preferred.

About Us
We are Inova, Northern Virginia's leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better - to shape a more compassionate future for healthcare.
Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

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