Integrated Nurse Case Manager/Registered Nurse (RN)- Remote in VA

Sentara; Virginia, Virginia Beach (MN, VA); Remote; USD 60,000 - 90,000; Full time

Job summary

An established healthcare organization is seeking a dedicated Integrated Nurse Case Manager to enhance patient care and optimize health outcomes. This role involves both in-person and telephonic assessments, focusing on case management for a diverse patient population. You will collaborate with healthcare teams to develop and implement care plans, ensuring compliance with regulatory standards. Join a forward-thinking company that values community involvement and offers a supportive environment for professional growth. If you are passionate about making a difference in healthcare, this opportunity is for you.

Benefits

Medical, Dental, Vision plans

Tuition Assistance - $5,250/year

401k/403B with Employer Match

Paid Time Off and Sick Leave

Life Insurance

Emergency Backup Care

Adoption, Fertility and Surrogacy Reimbursement

Student Debt Pay Down - $10,000

Pet Insurance

Legal Resources Plan

Qualifications

• Must have RN License (Compact or Virginia).
• 3 years of nursing experience required.

Responsibilities

• Develop and manage care plans for members.
• Conduct clinical assessments and coordinate care.
• Interface with healthcare teams on treatment plans.

Skills

Case Management

Nursing

Telephonic Assessments

Clinical Assessments

Chronic Illness Management

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing

Job description

City/State

Virginia Beach, VA

Work Shift

First (Days)

Overview:

Sentara Health Plansis hiring an Integrated Nurse Case Manager/Registered Nurse (RN)for Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth, VA!

Sign-on bonus offer to qualified applicants!

The position requires both in-person face-to-face assessments and remote telephonic assessments for the waiver population.

Status: Full-time,permanent position (40 hours)

Standard working hours: 8am to 5pm EST, M-F

Location: Applicants must reside in Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth, VA!

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 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. Ensures compliance with regulatory, accrediting and company policies and procedures

• May assist in problem solving with provider, claims or service issues.

Required qualifications:

• Registered Nurse (RN) License (Compact or Virginia) REQUIRED

• Associate or Bachelors Degree in Nursing REQUIRED

• 3 years experience in Nursing REQUIRED

Preferred qualifications:

• Case Management experience preferred

• Discharge planning experience preferred

• Managed Care or Health Plan experience preferred

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.

Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.

We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-77797

Talroo - Nursing

Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Norfolk, VA Beach, Suffolk, Chesapeake, Portsmouth, Tidewater, Managed Care, MCO, Health Plan

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 ifestablished 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.