Integrated Nurse Case Manager- Registered Nurse

Sentara; England; Remote; USD 40,000 - 70,000; Full time

Job summary

An established healthcare provider is seeking an Integrated Nurse Case Manager to join their team. This full-time role involves both in-person and telephonic assessments, focusing on optimizing member health care across various settings. The ideal candidate will have a strong background in nursing, particularly in case management and care coordination. With comprehensive benefits including medical, dental, and tuition assistance, this position offers a rewarding opportunity to make a significant impact in the community. Join a forward-thinking organization dedicated to improving health every day!

Benefits

Medical, Dental, Vision plans

Adoption, Fertility, and Surrogacy Reimbursement

Paid Time Off and Sick Leave

401k/403B with Employer Match

Tuition Assistance

Pet Insurance

Opportunity for annual discretionary bonus

Qualifications

• Minimum 3 years experience in nursing required.
• Registered Nurse License (RN) is mandatory.

Responsibilities

• Develops and monitors care plans to optimize member health.
• Coordinates care for members with chronic illnesses and disabilities.

Skills

Care Coordination

Case Management

Human Services

Community Health

Health Education

Private Duty Nursing

Ventilator Knowledge

Education

Associates Degree in Nursing

Bachelor's Degree in Nursing

Job description

City/State

Norfolk, VA

Work Shift

First (Days)

Overview:

Sentara Healthcare is currently hiring an Integrated Nurse Case Manager!

This is a full-time position with day shift hours and great benefits!

Primary responsibilities include:

• Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum.
• Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination, and management of member's needs, including physical and behavioral health, social services, and long-term services.
• Identifies members for high-risk complications and coordinates care in conjunction with the member and healthcare team.
• Manages chronic illnesses, co-morbidities, and disabilities ensuring cost-effective and efficient utilization of health benefits; conducts gap-in-care management for quality programs.
• Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible.
• Interfaces with Medical Directors, Physician Advisors, and/or Inter-Disciplinary Teams on care management treatment plans.
• Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting, and company policies and procedures.
• May assist in problem-solving with provider, claims, or service issues.

Preferred: Private duty nursing experience and knowledge of ventilators in a facility or home setting.

Education:

• Associates or Bachelor's Degree in Nursing.

Certification/Licensure:

• Registered Nurse License (RN) - Nursing License - Compact/Multi-State License required.

Experience:

• Minimum of 3 years experience in Nursing.
• Discharge planning experience preferred.
• Managed Care experience preferred.
• Preferred: Private duty nursing and knowledge of ventilators in a facility or home setting.

Keywords: Care Coordination, Case Management, Human Services, Community Health, Health Education, RN Case Manager, Registered Nurse, BSN, ADN, Private Duty, Ventilator, #INDEED, #ZipRecruiter, LinkedIn, Talroo-Nursing

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans
• Adoption, Fertility, and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance, Legal Resources Plan

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its workforce. Diversity, inclusion, and belonging are guiding principles to ensure the workforce reflects the communities served.

This is a tobacco-free environment supporting our mission "to improve health every day."

Remote work eligibility: Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.