Remote Integrated Case Manager RN — Care Coordination

Sentara Health; Virginia Beach (VA); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Paid Time Off

401k with Employer Match

Tuition Assistance

Job summary

Sentara Health invites applications for a Remote Integrated Case Manager. The role focuses on case management within licensure, developing and monitoring care plans to optimize member care across the continuum.

Requires RN licensure and 3+ years of nursing experience, with a preference for BSN. Responsibilities include telephonic and in-person assessments, coordinating with care teams, and ensuring efficient utilization of health benefits.

Qualifications

• Associates degree required; BSN preferred.
• Registered Nurse license required.
• Minimum of 3 years of nursing experience.
• Managed care and disease management experience preferred.

Responsibilities

• Perform telephonic and face-to-face assessments to identify and manage member needs.
• Develop and revise member care plans to optimize care across the continuum.
• Coordinate with health care teams and providers; manage authorizations/referrals.
• Monitor chronic conditions and ensure cost-effective use of benefits.

Skills

Case management

Communication skills

Analytical skills

Education

Associates (required)

BSN (preferred)

Job description

Sentara Health invites applications for a Remote Integrated Case Manager. The role focuses on case management within licensure, developing and monitoring care plans to optimize member care across the continuum.

Requires RN licensure and 3+ years of nursing experience, with a preference for BSN. Responsibilities include telephonic and in-person assessments, coordinating with care teams, and ensuring efficient utilization of health benefits.