Remote RN: Integrated Case Manager

Sentara Health; Oregon; Hybrid; USD 90,000 - 136,000; Full time

Benefits offered by this job

Medical Insurance

401k/Employer match

PTO & Holidays

Educational assistance

Job summary

Sentara Health is seeking an Integrated Case Manager, RN, to deliver comprehensive case management across the care continuum. The role includes telephonic assessments, care planning, and coordination of authorizations while traveling to required sites.

The position requires an RN with at least 3 years of nursing experience, preferred discharge planning and managed care exposure, and strong communication skills.

Qualifications

• Associates degree required; RN license is mandatory.
• 3 years nursing experience required; managed care preferred.
• Discharge planning experience preferred.

Responsibilities

• Conduct telephonic and face-to-face assessments to identify member needs.
• Develop, monitor, and adjust care plans across physical, behavioral health, and social services.
• Coordinate authorizations/referrals within benefits structure or contractual arrangements.
• Collaborate with Medical Directors and care teams for multidisciplinary plans.
• Lead case conferences and ensure compliance with policies and regulations.

Skills

Case management

Telephonic assessments

Communication skills

Analytical skills

Problem-solving

Education

Associates

Bachelors preferred

Tools

Electronic Medical Records

Job description

Sentara Health is seeking an Integrated Case Manager, RN, to deliver comprehensive case management across the care continuum. The role includes telephonic assessments, care planning, and coordination of authorizations while traveling to required sites.

The position requires an RN with at least 3 years of nursing experience, preferred discharge planning and managed care exposure, and strong communication skills.