RN Integrated Case Manager – Remote w/ In-Person

Sentara Health; Fairfax (VA); Hybrid; USD 90,000 - 136,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k with Employer Match

Paid Time Off and Sick Leave

Parental & Family Caregiver Leave

Life Insurance

Discretionary bonus eligibility

Job summary

Sentara Health is seeking an Integrated Case Manager (RN) to deliver comprehensive case management, clinical assessments, and care coordination for members across physical, behavioral health, and social services. This role requires travel to Arlington, Alexandria, Fairfax, and Leesburg areas, with in-person assessments and a remote component.

The ideal candidate has 3+ years of nursing experience, RN certification, and experience in managed care or discharge planning.

Qualifications

• Associates/Bachelors preferred; RN certification required.
• 3 years nursing experience; managed care preferred.
• Discharge planning experience preferred.

Responsibilities

• Develops, monitors, and revises member care plans to optimize health outcomes.
• Performs telephonic clinical assessments for identification and coordination of needs.
• Identifies high-risk members and coordinates care with medical teams and services.
• Facilitates authorizations/referrals within benefits structure and contracts.

Skills

Case management

Managed care

Discharge planning

Telephonic assessments

Interdisciplinary collaboration

Education

RN certification

Associates degree

Bachelors degree preferred

Job description

Sentara Health is seeking an Integrated Case Manager (RN) to deliver comprehensive case management, clinical assessments, and care coordination for members across physical, behavioral health, and social services. This role requires travel to Arlington, Alexandria, Fairfax, and Leesburg areas, with in-person assessments and a remote component.

The ideal candidate has 3+ years of nursing experience, RN certification, and experience in managed care or discharge planning.