Remote Integrated Case Manager RN – Travel Required

Sentara Health; Provo (UT); Hybrid; USD 90,000 - 136,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401(k) with match

Paid time off

Tuition assistance

Leave benefits

Job summary

Sentara Health is hiring an Integrated Case Manager, RN. The role is remote but requires in-person assessments; travel up to 60-90 minutes to see members about 50–75% of the week.

You will assess, plan, and coordinate care across physical and behavioral health, social services, and long-term care needs. Requirements include RN licensure and 3 years nursing experience; discharge planning and managed care are preferred.

Qualifications

• Registered Nurse (RN) license required.
• Minimum 3 years of nursing experience.
• Managed care and discharge planning experience preferred.

Responsibilities

• Perform telephonic clinical assessments to identify and manage member needs.
• Develop, monitor, and revise care plans to optimize health across the care continuum.
• Coordinate authorizations/referrals within benefits structure and extra-contractual arrangements.
• Interface with Medical Directors and care teams; present cases at case conferences.
• Ensure compliance with regulatory, accrediting, and company policies.

Skills

RN

Case management

Discharge planning

Healthcare experience

Education

Associates degree

Bachelor's degree preferred

Job description

Sentara Health is hiring an Integrated Case Manager, RN. The role is remote but requires in-person assessments; travel up to 60-90 minutes to see members about 50–75% of the week.

You will assess, plan, and coordinate care across physical and behavioral health, social services, and long-term care needs. Requirements include RN licensure and 3 years nursing experience; discharge planning and managed care are preferred.