Nursing Jobs in Beltsville, MD
$75,545.60 - $125,923.20 / year
This is a 10 hr shift position (8am-6:30pm) that involves every other weekend rotations. The Case Manager Hybrid I/II will provide case management services to patients and their families or caregivers. This role involves both discharge planning and utilization review components. The Case Manager Hybrid I/II as an onsite role act as the central hub of patient care, ensuring continuity, efficiency, and quality outcomes for complex, chronic, or high-risk cases. They bridge the gap between providers, patients, and external resources to manage health outcomes proactively. Assist with direct patient assessment, participate in planning and implementation of intervention and ensure follow-up and coordination of services. Leads or participates in in-person or virtual care team planning meetings, acting as the primary point of contact for the team. Advocates for patient needs, addresses barriers to care (such as social determinants), and ensures alignment across the interdisciplinary team. Manages a panel of complex patients, focusing on reducing avoidable admissions and optimizing resource utilization. Engage in outreach activities in the community to effectively case manage to discharge. Assist with administrative tasks, as needed for all patients and families. Review and authorize hospital days by ensuring the care provided aligns with insurance company guidelines, reducing the risk of denied claims. Part of the role includes Identifying and securing community resources, including Medicaid, Medicare, or other funding programs through high-risk process for patients, helping to manage the financial aspects of complex cases. Use analytic tools to predict and prevent unnecessary readmissions, reducing costs for both the patient and the organization. All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children's National Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice and assigned/covering patients. Children's National supports the development of RN relationships within the community; specifically, those relationships associated with the health and well-being of the community at large. Minimum Education Bachelor's Degree (Required) Master's Degree (Preferred) Minimum Work Experience 5 years' experience with at least three (3) in an acute inpatient setting (Required) Experience in one or more of the following areas: designated/pediatric specialty, program/project development, clinical pathways or leadership (Required) Required Licenses And Certifications Registered Nurse (Required) Functional Accountabilities Current certification in Case Management or Utilization Management (Preferred) Professional Practice/Research Participate in Shared Leadership. Contribute to the MAGNET Journey of Children’s National. Ensure nursing practice is based on evidence of best practice. Accountable to participate in the Nursing Division’s Performance Improvement process (division or unit level). Participate in community activities. Patient Resource Services Communicate denials, high risk, or changes in level of care using accepted processes to limit financial risk to CNMC and patients’ families. Navigate internal and external systems to accurately identify or secure payers and link patients to needed services. Discharge Transitional Plan of Care Lead and proactively define discharge and transitional care criteria daily with the healthcare team to facilitate efficient care transitions. Conduct an initial assessment within 1 day of patient and family to identify potential discharge barriers and needs in accordance with departmental and regulatory requirements. Document in EHR and escalate timely to leadership any barriers Develop and implement a plan of care and make referrals based on a needs assessment and available resources in conjunction with care team members. Transition care to external providers and services to achieve quality outcomes for patient and family . Provide clinical reviews/referrals to third party payers using nationally recognized medical necessity criteria and validate authorization or denial of services and document appropriately in EHR (Initial Assessment & ongoing assessment) Case Management Nursing focused Follow High Risk Process (Uninsured/Social/Financial Risk) Monitor Length of Stay (LOS) and Document Avoidable Days/Delays for all patients assigned Timely handoff to teams (nursing/CM/Provider) to ensure continuity of care for all patients Documentation Document according to departmental policy. Abide by nursing practice guidelines Initial Assessment 1-2 days of admission and Ongoing assessment weekly. Document daily if needed as ongoing patient care management occurs Document parent guardian choice for each patient with a case management need (ex: DME/PDN/Placement etc) Performance Improvement Identify, implement, and evaluate processes to improve customer service, reimbursement and/or hospital performance. Participate in the identification of Process Improvement issues and take steps to improve unit or CRM processes. Promote the development of CRM department and other members of the healthcare team. Identify gaps in care coordination, discharge planning, and resource utilization Ensure adherence to regulatory and accreditation standards (e.g., CMS, Joint Commission, DOH) Work closely with other case managers, social workers, physicians, payors and nursing staff Utilize department tools to track key performance indicators (KPIs) such as length of stay (LOS), Avoidable days, readmission rates, and care transitions Effectively manage patent ratio of 1:30 for safe discharge Primary Location District of Columbia-Washington Work Locations CN Hospital (Main Campus) Organization Patient Services Position Status R (Regular) Work Schedule 8a-6:30p(10hrs) every other wkend rotation Job Posting Jun 6, 2026, 1:16:16 AM Full-Time Salary Range 75545.6 $125,000 - $161,003 / year
Your future role at a glance Location: Baltimore, MD Facility Name: Ascension Saint Agnes Hospital Schedule: Full-Time Base salary: $125,000 â $161,003 per year Sign-on bonus CME allowance Malpractice coverage with tail How you’ll make an impact in this role This is an exceptional opportunity for a dedicated Neonatal Nurse Practitioner to join a stable, well-respected team within a Level III NICU, offering a high degree of clinical autonomy supported by a culture of professional collegiality and the robust resources of the Ascension Saint Agnes health network Join an established team of 4 physicians Practice setting: Level III NICU Employed position within a nonprofit health system Neonatal Nurse Practitioner (NNP) Certification Eligible for state medical licensure and DEA registration Provide expert clinical interventions for neonates in the NICU and Well-Baby nurseries, ensuring every infant receives high-level, compassionate direct care. Collaborate across multidisciplinary teams to provide expert consultations for Obstetric and Pediatric partners, ensuring seamless care transitions for complex neonatal patients. About the Facility 251-bed teaching hospital Level III NICU Serving a population of approximately 738,000 Integrated referral network Part of Ascension, a national nonprofit Catholic health system Why Physicians Choose Ascension Physician-led, collaborative culture Long-term practice stability National network with local autonomy Mission-centered care rooted in service What minimum requirements you’ll need Licensure / Certification / Registration: Nurse Practitioner with Prescriptive Authority credentialed from the Maryland Board of Nursing obtained prior to hire date or job transfer date required. Registered Nurse credentialed from the Maryland Board of Nursing obtained prior to hire date or job transfer date required. BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted. Drug Enforcement Admin credentialed from the Drug Enforcement Administration preferred. Education: Master's degree of Nursing required. #HeC #LI-SM3 Benefits that help you thrive Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance Time to recharge: pro-rated paid time off (PTO) and holidays Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources Family support: parental leave, adoption assistance and family benefits Other benefits: optional legal and pet insurance, transportation savings and more Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter. Equal employment opportunity employer Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster. Fraud prevention notice Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process, our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. E-Verify statement Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates. 
