Integrated Nurse Care Manager- Remote VA

Sentara Health Plans; Richmond (VA); Remote; USD 60,000 - 90,000; Full time

Job summary

An established healthcare provider seeks an Integrated Nurse Care Manager to enhance care for high-risk members. This role involves conducting assessments, developing care plans, and collaborating with interdisciplinary teams to ensure optimal health outcomes. With a focus on chronic conditions and complex care needs, you will play a vital role in improving the lives of those with significant health challenges. Join a forward-thinking organization that values diversity and offers comprehensive benefits, including tuition assistance and a supportive work environment. If you're passionate about making a difference in healthcare, this opportunity is for you.

Benefits

Medical, Dental, Vision plans

Paid Time Off and Sick Leave

Tuition Assistance – $5,250/year

401k/403B with Employer Match

Emergency Backup Care

Pet Insurance

Legal Resources Plan

Student Debt Pay Down – $10,000

Reimbursement for certifications

Annual discretionary bonus opportunity

Qualifications

• 3+ years of nursing experience with a focus on case management.
• Registered Nurse License (RN) required for this role.

Responsibilities

• Conduct clinical assessments and develop individualized care plans.
• Coordinate interventions for high-risk members to optimize health outcomes.

Skills

Clinical Assessments

Case Management

Communication Skills

Critical Thinking

Organizational Skills

Flexibility and Adaptability

Education

Associates or Bachelors Degree in Nursing

Tools

Care Management Software

Job description

Integrated Nurse Care Manager- Remote VA

Integrated Nurse Care Manager- Remote VA

Apply remote type Remote locations Richmond, VA time type Full time posted on Posted Yesterday job requisition id JR-78515

City/State

Richmond, VA

Work Shift

First (Days)

Overview:

Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for the Eastern Middle Peninsula region of VA!

This is a Full Time position with day shift hours and great benefits!

The position requires travel to conduct face-to-face home visits in the member’s home within the Eastern Middle Peninsula region of VA, including but not limited to: Millers Tavern, Dunnsville, Tappahanock.

Applicants must reside in or near one of these locations to be considered for the role.

The Integrated Care Manager (ICM) is a Registered Nurse Clinician responsible for providing comprehensive case management services to a defined high-risk member population. This role focuses on supporting individuals with complex care needs and aims to optimize health outcomes through proactive coordination, care planning, and resource management across the care continuum.

Target Member Population Includes:

• High Emergency Room (ER) utilizers
• Recent hospital discharges
• Members diagnosed with heart failure, COPD, or diabetes
• Individuals with Developmental Disability (DD) waivers

Key Responsibilities:

• Perform telephonic and/or face-to-face clinical assessments to identify, evaluate, and manage member needs, including medical, behavioral health, social, and long-term care services
• Develop, monitor, evaluate, and revise individualized care plans tailored to member needs and health goals
• Identify members at risk for complications or re-hospitalizations and coordinate timely interventions with the member, caregiver, and health care team
• Support management of chronic illnesses, co-morbidities, and disabilities, ensuring appropriate utilization of benefits and adherence to care plans
• Conduct gap in care management as part of quality improvement initiatives
• Facilitate necessary authorizations and referrals within benefit guidelines or through extra-contractual arrangements when appropriate
• Collaborate with Medical Directors, Physician Advisors, and Interdisciplinary Teams to review and align on care plans and treatment recommendations
• Present member cases in case conferences to ensure a multidisciplinary approach to care
• Ensure all activities are compliant with regulatory standards, accreditation requirements, and company policies
• Assist in resolving provider, claims, or service-related issues impacting member care

Education

• Associates or Bachelors Degree in Nursing

Certification/Licensure

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

Experience

• 3 years experience in Nursing
• Strong background in case management, including the ability to develop, monitor, and revise individualized care plans for complex member populations.
• Experience working with high-risk members, such as those with: Frequent ER utilization / Recent hospital discharges / Chronic conditions (e.g., heart failure, COPD, diabetes)/ Individuals with Developmental Disability (DD) waivers.
• Ability to collaborate with interdisciplinary teams, including physicians, social workers, and behavioral health professionals
• Excellent communication, critical thinking, and organizational skills
• Demonstrated flexibility and adaptability in a field-based role with travel requirements

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.

About Us

Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!