Remote Integrated Case Manager RN - Care Coordination

Sentara Healthcare Inc; Virginia Beach, Northern (VA, KY); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Sentara Health in Virginia Beach is seeking a Remote Integrated Case Manager to coordinate member care across the health continuum, performing assessments and developing care plans within licensure. You will identify high-risk members, manage chronic conditions, and collaborate with Medical Directors, physicians and care teams to optimize health outcomes while ensuring regulatory compliance.

Strong communication, problem-solving and analytical skills are essential for timely authorizations and

Qualifications

• Minimum knowledge, skills and abilities to care for patients' physical, psychological, socio-cultural, spiritual and cognitive needs.
• Associates degree required; BSN preferred.

Responsibilities

• Provide case management within licensure; develop and monitor member care plans.
• Perform telephonic and face-to-face assessments to identify and manage needs.
• Coordinate care with Medical Directors, physicians, and interdisciplinary teams.
• Facilitate authorizations/referrals within benefits or extra-contractual arrangements.
• Ensure compliance with regulatory and company policies.

Skills

Oral and written communication

Interpersonal skills

Problem-solving

Facilitation skills

Analytical skills

Education

Associates degree

BSN preferred

Job description

Sentara Health in Virginia Beach is seeking a Remote Integrated Case Manager to coordinate member care across the health continuum, performing assessments and developing care plans within licensure. You will identify high-risk members, manage chronic conditions, and collaborate with Medical Directors, physicians and care teams to optimize health outcomes while ensuring regulatory compliance.

Strong communication, problem-solving and analytical skills are essential for timely authorizations and