Remote Integrated Case Manager RN - Travel Required

Sentara Health; Carson City (NV); Remote; USD 90,000 - 136,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) with employer match

Paid Time Off

Job summary

Sentara Health Roanoke, VA seeks an Integrated Case Manager (RN) for remote work with required in-person assessments. Travel up to 60–90 minutes to members is expected 50–75% of the week.

The role develops and monitors care plans, coordinates physical/behavioral health and social services, conducts telephonic assessments, and collaborates with Medical Directors and care teams to optimize outcomes while ensuring regulatory compliance. RN license required.

Qualifications

• RN license required.
• 3 years of nursing experience required.
• Managed care experience preferred.
• Discharge planning experience preferred.
• Education: Associates; Bachelors preferred.

Responsibilities

• Develops and monitors the member care plan within licensure scope.
• Performs telephonic clinical assessments for identification, evaluation, coordination and management.
• Identifies high-risk members and coordinates care with the health care team.
• Manages chronic illnesses, co-morbidities and disabilities for cost-effective care.
• Facilitates authorizations/referrals within benefits or applicable arrangements.
• Interacts with Medical Directors and care teams on treatment plans and presents at case conferences.

Skills

Communication

Problem-solving

Facilitation

Analytical

Education

Associates

Bachelors preferred

Job description

Sentara Health Roanoke, VA seeks an Integrated Case Manager (RN) for remote work with required in-person assessments. Travel up to 60–90 minutes to members is expected 50–75% of the week.

The role develops and monitors care plans, coordinates physical/behavioral health and social services, conducts telephonic assessments, and collaborates with Medical Directors and care teams to optimize outcomes while ensuring regulatory compliance. RN license required.