Integrated Case Manager

Sentara Health; Carson City (NV); Remote; USD 90,000 - 136,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) with employer match

Paid Time Off

Job summary

Sentara Health Roanoke, VA seeks an Integrated Case Manager (RN) for remote work with required in-person assessments. Travel up to 60–90 minutes to members is expected 50–75% of the week.

The role develops and monitors care plans, coordinates physical/behavioral health and social services, conducts telephonic assessments, and collaborates with Medical Directors and care teams to optimize outcomes while ensuring regulatory compliance. RN license required.

Qualifications

• RN license required.
• 3 years of nursing experience required.
• Managed care experience preferred.
• Discharge planning experience preferred.
• Education: Associates; Bachelors preferred.

Responsibilities

• Develops and monitors the member care plan within licensure scope.
• Performs telephonic clinical assessments for identification, evaluation, coordination and management.
• Identifies high-risk members and coordinates care with the health care team.
• Manages chronic illnesses, co-morbidities and disabilities for cost-effective care.
• Facilitates authorizations/referrals within benefits or applicable arrangements.
• Interacts with Medical Directors and care teams on treatment plans and presents at case conferences.

Skills

Communication

Problem-solving

Facilitation

Analytical

Education

Associates

Bachelors preferred

Job description

City/State Roanoke, VAWork Shift First (Days)Overview:Sentara Health is looking to hire an Integrated Case Manager, RN.

This Position is remote but does require in person face-to-face assessments. Candidates must be able to travel to Roanoke and northern areas as travel is required up to 60- 90 minutes to see members approximately 50 to 75% a week.

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 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 preferred

Keywords: Talroo- Health, Case Management, Managed Care, Discharge Planning We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay range for full-time employment is $89,544.00 - $136,468.80 annually. Additional compensation may be available for this role, such as shift differentials, on-call pay, shift premiums, extra-shift incentives, or bonus opportunities. Compensation within the range may vary based on qualifications, experience, location, market conditions, and business needs. Note: If an annual salary is posted, it is based on a full-time colleague working 2,080 hours annually. Sentara offers a comprehensive benefits package, including medical, dental, vision, life and disability insurance; 401(k)/403(b) with employer match; paid time off (vacation, sick time, and holidays); paid parental and military leave; educational assistance or student loan repayment; and voluntary benefits.

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-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.