Remote RN: Integrated Case Manager | Managed Care

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

Benefits offered by this job

Medical, Dental, Vision plans

401(k) with employer match

Paid time off

Job summary

Sentara Health is seeking an Integrated Case Manager, RN for a full-time role. This remote position requires in-person face-to-face assessments and travel to Danville, South Boston, Ringgold, Dry Fork and Chatham areas to support member care plans.

The role emphasizes coordinating care, managing chronic conditions, and ensuring alignment with regulatory and company policies. Strong communication, problem-solving, and analytical skills are essential.

Qualifications

• Associates degree required or equivalent in nursing.
• Bachelor's degree preferred for higher accountability.

Responsibilities

• Develops, monitors, and revises the member care plan to optimize health outcomes.
• Performs telephonic clinical assessments and coordinates care across health and social services.
• Facilitates authorizations/referrals within benefits structures and contract terms.
• Works with interdisciplinary teams to present cases at case conferences and ensure regulatory compliance.

Skills

RN

Case management

Discharge planning

Managed care

Education

Associates

Bachelors preferred

Job description

Sentara Health is seeking an Integrated Case Manager, RN for a full-time role. This remote position requires in-person face-to-face assessments and travel to Danville, South Boston, Ringgold, Dry Fork and Chatham areas to support member care plans.

The role emphasizes coordinating care, managing chronic conditions, and ensuring alignment with regulatory and company policies. Strong communication, problem-solving, and analytical skills are essential.