Integrated Case Manager- RN

Sentara Health; New York (NY); Remote; USD 90,000 - 136,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401(k)/403(b) with employer match

Tuition Assistance – $5,250/year

Student Debt Pay Down – $10,000

Paid Time Off and Sick Leave

Long-Term, Short-Term Disability, and

Job summary

Sentara Health is seeking an Integrated Case Manager, RN to manage patient care plans and coordinate services. The role is remote but requires in-person assessments and travel to Bowling Green, Tappahannock, and Henrico areas.

Full-time, 40 hours per week, day shift (8am-5pm). The ideal candidate holds an RN license with an Associates or Bachelor’s degree, and has at least 3 years of nursing experience with managed care or discharge planning background.

Qualifications

• Requires RN license and nursing degree
• Experience in care coordination and discharge planning preferred
• Strong communication and problem-solving skills required

Responsibilities

• Develop, monitor, and revise the member's care plan to optimize health care across the continuum
• Perform telephonic clinical assessments for identification, evaluation, and management of needs
• Coordinate with medical directors and care teams to present cases at conferences and ensure regulatory compliance

Skills

Care coordination

Communication skills

Problem-solving

Education

RN license

Associate degree

Bachelor's degree preferred

Job description

Integrated Case Manager, RN

City/State

Richmond, VA

Work Shift

First (Days)

Overview

Sentara Health is looking to hire an Integrated Case Manager, RN.Status:

Full Time (40 hrs/wk)Shift:

Day (8am-5pm)This Position is remote but does require in person face‑to‑face assessments. Candidates must be able to travel to Bowling Green, Tappahannock and Henrico area.

Responsibilities & Duties

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 & Certifications

Education:AssociatesBachelors preferred

Certification:Registered Nurse required

Experience

Experience:3 years of nursing experience requiredManaged care preferredDischarge planning experience preferred.

Keywords & Compensation

Keywords: Talroo- Health, Case Management, Managed Care, Discharge PlanningWe 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.

Benefits

• 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
• 401(k)/403(b) 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.