Remote RN Case Manager - Travel Required

Managed Care Services, Inc.; Harrisonburg (VA); Remote; USD 90,000 - 136,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401(k)/403(b) with employer match

Paid Time Off

Job summary

Sentara Health in Harrisonburg, VA is seeking an Integrated Case Manager (RN) to coordinate and manage member care across the health system. This remote position requires residency in Harrisonburg or surrounding areas due to travel obligations.

The RN will assess, plan, implement and monitor case management activities, collaborating with a multidisciplinary team to optimize health outcomes while ensuring cost-effective utilization of benefits.

Qualifications

• RN licensure is required.
• 3 years of nursing experience required.
• Managed care experience preferred.
• Discharge planning experience preferred.

Responsibilities

• Perform telephonic or face-to-face clinical assessments to identify, evaluate, coordinate and manage member needs.
• Develop, monitor, evaluate and revise member care plans to optimize health across the continuum.
• Coordinate authorizations/referrals within benefits structure or extra-contractual arrangements.
• Interface with Medical Directors, Physician Advisors and Inter-Disciplinary Teams on care plans.
• Present cases at case conferences for multidisciplinary focus.
• Ensure compliance with regulatory, accrediting and company policies.

Skills

Case management

Communication

Analytical skills

Interpersonal skills

Education

Associates

Bachelor's degree preferred

Tools

RN licensure

Job description

Sentara Health in Harrisonburg, VA is seeking an Integrated Case Manager (RN) to coordinate and manage member care across the health system. This remote position requires residency in Harrisonburg or surrounding areas due to travel obligations.

The RN will assess, plan, implement and monitor case management activities, collaborating with a multidisciplinary team to optimize health outcomes while ensuring cost-effective utilization of benefits.