Remote RN Integrated Case Manager - Care Coordination Pro

Sentara Health; Annapolis (MD); Remote; USD 90,000 - 136,000; Full time

Benefits offered by this job

Medical plan

Dental plan

Vision plan

401(k) with match

Paid time off

Job summary

Sentara Health is seeking an Integrated Case Manager, RN. The role involves remote case management with in-person assessments to Roanoke and surrounding areas.

Travel up to 60–90 minutes weekly is required to support member care and coordination across the health care team. The ideal candidate will hold RN licensure with 3 years nursing experience, and have strong communication, problem-solving and analytical skills.

Qualifications

• Minimum: RN license and 3 years nursing experience.
• Associates degree; Bachelors preferred.
• 3 years nursing experience required; managed care preferred.
• Travel up to 60–90 minutes for face-to-face assessments; remote/telephonic case management.

Responsibilities

• Perform telephonic clinical assessments to identify, evaluate, coordinate and manage member needs.
• Develop, monitor, evaluate and revise member care plans to optimize care across the continuum.
• Coordinate authorizations/referrals within benefits structure or extra-contractual arrangements.
• Interface with Medical Directors, Physician Advisors and care teams; present cases at case conferences.

Skills

Case management

Nursing

Communication

Problem-solving

Facilitation

Analytical skills

Education

Associates

Bachelor’s preferred

Job description

Sentara Health is seeking an Integrated Case Manager, RN. The role involves remote case management with in-person assessments to Roanoke and surrounding areas.

Travel up to 60–90 minutes weekly is required to support member care and coordination across the health care team. The ideal candidate will hold RN licensure with 3 years nursing experience, and have strong communication, problem-solving and analytical skills.