Remote RN: Integrated Case Manager (Travel 50-75%)

Sentara Health; Atlanta (GA); Remote; USD 90,000 - 136,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k/403(b) with employer match

Paid time off

Job summary

Sentara Health is seeking an Integrated Case Manager (RN) to coordinate and manage patient care remotely, with required in-person assessments in Roanoke, VA and surrounding areas. The role involves telephonic assessments, care planning, and collaboration with medical directors and interdisciplinary teams to optimize member health outcomes.

The ideal candidate holds an RN license with 3 years of nursing experience, and offers experience in managed care and discharge planning.

Qualifications

• RN license required
• Associates degree or Bachelors preferred
• 3 years nursing experience required
• Managed care experience preferred
• Discharge planning experience preferred

Responsibilities

• Conduct telephonic clinical assessments to identify member needs
• Develop, monitor, and revise member care plans across care continuum
• Coordinate and manage chronic conditions and co-morbidities
• Identify high-risk members and coordinate care with health team
• Facilitate authorizations/referrals within benefits or extra-contractual arrangements
• Interface with Medical Directors and interdisciplinary teams on plans
• Present cases at case conferences for multidisciplinary input
• Ensure compliance with regulatory, accreditation, and company policies
• Travel to Roanoke and nearby areas up to 60–90 minutes weekly as needed

Skills

Telephonic assessment

Care coordination

Interdisciplinary collaboration

Education

Associate or Bachelor's degree

Job description

Sentara Health is seeking an Integrated Case Manager (RN) to coordinate and manage patient care remotely, with required in-person assessments in Roanoke, VA and surrounding areas. The role involves telephonic assessments, care planning, and collaboration with medical directors and interdisciplinary teams to optimize member health outcomes.

The ideal candidate holds an RN license with 3 years of nursing experience, and offers experience in managed care and discharge planning.