Field Registered Nurse Case Manager

Conducts field-based clinical assessments and case management for MedStar Family Choice D.C. enrollees. Develops person-centered care plans, coordinates physical, behavioral and social services, supports transitions and eligibility, and connects members with community resources and coverage options. The role serves the District of Columbia region and involves up to 85% travel. Conduct comprehensive clinical assessments and reassessments for enrollees. Develop person-centered care and service plans reflecting member goals and preferences. Coordinate physical, behavioral and social services with providers and community partners. Provide case management for self-direction, nursing home transitions, transitions of care and utilization management. Connect members with eligible programs, coverage options and community resources. Document clinical reviews, follow up on member needs and report work progress or backlogs. Clinical assessment Nursing case management Care planning Utilization management Transitions of care Clinical documentation Care coordination Eligibility support Community resource referral Clinical decision support Registered Nurse (RN) license