106444 - Integrated Case Manager - Registered Nurse

Sentara Health Plans; Harrisonburg (VA); Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k/403B with Employer Match

Tuition Assistance – $5,250/year

Student Debt Pay Down – $10,000

Pet Insurance

Legal Resources Plan

Job summary

Sentara Health Plans in Harrisonburg, VA, seeks an Integrated Case Manager, RN, to provide case management services. The position is hybrid but requires residence in Harrisonburg due to travel commitments. Candidates must have at least 3 years of nursing experience, with a preference for managed care and discharge planning experience. Benefits include medical, dental, vision plans, 401k match, tuition assistance, and more. Join Sentara Health in their mission to improve health every day.

Qualifications

• 3 years of nursing experience required.
• Experience in managed care is preferred.
• Discharge planning experience is preferred.

Responsibilities

• Manage case management services to optimize member health care.
• Conduct clinical assessments for member's needs.
• Coordinate care plans with healthcare teams.

Skills

Communication skills

Problem-solving skills

Facilitation skills

Analytical skills

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing (preferred)

Job description

## 106444 - Integrated Case Manager - Registered NurseApplyremote type: Hybridlocations: Harrisonburg, VAtime type: Full timeposted on: Posted Todayjob requisition id: JR-99062**City/State**Harrisonburg, VA**Work Shift**First (Days)**Overview:****Sentara Health in Harrisonburg, VA is looking to hire an Integrated Case Manager, RN.****This is a remote position; however, candidates must reside in Harrisonburg and surrounding areas as travel is required.**The Integrated Case Manager is 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 health care team. Manages chronic illnesses, co-morbidities, and/or 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. Ensure compliance with regulatory, accrediting and company policies and procedures. May assist in problem solving with provider, claims or service issues.Demonstrates the minimum knowledge, skills and abilities to care for the individualized needs of the patient to include physical, psychological, socio-cultural, spiritual and cognitive needs as well as functional abilities including the need for diversified use of such practices. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills**Education:*** Associates* Bachelors preferred**Certification:*** Registered Nurse required**Experience:*** 3 years of nursing experience required* Managed care preferred* Discharge planning experience preferredKeywords: Talroo- Health, Case Management, Managed Care, Discharge Planning**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 •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.**Sentara Health is an equal opportunity employer** and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.In support of our mission “to improve health every day,” this is a tobacco-free environment.**For positions that are available as remote work,** **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.