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Rn Complex Case Manager Jobs in Washington (NOW HIRING)

Inova

Registered Nurse (RN) Case Manager

Falls Church, VA · On-site

$86K - $140K/yr

Inova Fairfax 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. Inova ...

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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Addison Group

HSCPC RN Case Manager

Washington, DC · On-site

$80K - $115K/yr

Job Title: HSCPC RN Case Manager Location: Washington DC Compensation: $80,000 - $115,000 ... complex pediatric inpatient services. The ideal candidate is a proactive, hands-on nursing leader ...

Inova

Registered Nurse (RN) Case Manager

Fairfax, VA · On-site

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 ...

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Rn Complex Case Manager information

What is an RN complex case manager?

An RN Complex Case Manager is a registered nurse who specializes in coordinating care for patients with complex medical needs. They assess, plan, and facilitate care by working with interdisciplinary teams, patients, and families to ensure optimal health outcomes. Their role often involves managing chronic conditions, coordinating resources, and advocating for patients throughout the healthcare continuum. They help reduce hospital readmissions and improve quality of life by providing personalized support and education.

How does an RN complex case manager typically collaborate with interdisciplinary teams to support patient outcomes?

As an RN Complex Case Manager, you work closely with a variety of professionals, including physicians, social workers, pharmacists, and therapists, to develop and coordinate comprehensive care plans for patients with complex medical needs. Regular interdisciplinary meetings are common, where you discuss patient progress, identify barriers to care, and adjust plans as needed. Effective communication and documentation are essential, as you often serve as the main point of contact between the patient, their family, and the healthcare team. This collaborative approach helps ensure that all aspects of the patient's care are addressed and optimized for the best possible outcomes.

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

To thrive as an RN Complex Case Manager, you need a valid RN license, strong clinical assessment skills, and experience in case management or care coordination. Familiarity with case management software, electronic health records (EHRs), and relevant certifications like CCM (Certified Case Manager) are often required. Excellent communication, problem-solving abilities, and empathy are crucial for building relationships with patients and collaborating with multidisciplinary teams. These skills ensure effective care planning, improved patient outcomes, and efficient resource utilization for individuals with complex health needs.

What is the difference between Rn Complex Case Manager vs Rn Care Coordinator?

AspectRn Complex Case ManagerRn Care Coordinator
CertificationsRN license, case management certification often preferredRN license, case management certification often preferred
Work EnvironmentHealthcare facilities, insurance companies, community healthHospitals, clinics, outpatient settings
Primary FocusManaging complex patient cases, coordinating care plansCoordinating patient care, scheduling, patient education

The main difference is that Rn Complex Case Managers focus on managing complex cases with multiple health issues, requiring advanced care planning and coordination. Rn Care Coordinators primarily handle patient scheduling and basic care coordination. Both roles require RN licensure and often similar certifications, but their responsibilities and work environments differ slightly.

Are registered nurse complex case managers in demand?

Registered nurse complex case managers are in high demand due to the growing need for coordinated patient care, especially for individuals with chronic or complex health conditions. They often work in healthcare settings such as hospitals, insurance companies, and community health organizations, requiring strong clinical skills and case management certifications. The role is expected to grow as healthcare systems focus on cost-effective, patient-centered care.

Do registered nurse complex case managers make more than floor nurses?

Registered nurse complex case managers typically earn higher salaries than floor nurses due to their specialized skills, advanced responsibilities, and often additional certifications. Their roles involve coordinating care for complex cases, which generally commands higher compensation in healthcare settings.

Is being a registered nurse complex case manager worth it?

Being a registered nurse complex case manager can be a rewarding career with competitive salaries and opportunities for specialization. The role involves coordinating patient care, managing cases with complex medical needs, and often requires strong communication and organizational skills. Job satisfaction and growth potential depend on work environment and individual interests in patient advocacy and healthcare management.

What are popular job titles related to Rn Complex Case Manager jobs in Washington?

For Rn Complex Case Manager jobs in Washington, the most frequently searched job titles are:

What job categories do people searching Rn Complex Case Manager jobs in Washington look for?

The top searched job categories for Rn Complex Case Manager jobs in Washington are:

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

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

Rn Complex Case Manager jobs near you
Infographic showing various Rn Complex Case Manager job openings in Washington as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 14% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution.

Registered Nurse (RN) Case Manager - PRN

Inova

Leesburg, VA • On-site

$57.50/hr

Part-time

Medical, Dental, Vision, PTO

Posted 11 days ago

Inova Health System rating

7.5

Company rating: 7.5 out of 10

Based on 261 frontline employees who took The Breakroom Quiz

232nd of 898 rated healthcare providers

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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