Integrated Case Manager- RN (Chesapeake)

City/State

Virginia Beach VA

Work Shift

First (Days)

Overview:

Sentara Health is looking to hire an Integrated Case Manager RN.

This is a remote position; however candidates must reside in Suffolk Norfolk VA Beach Portsmouth VA and the surrounding areas as travel is required up to 1 hour to see members approximately 50 to 75% a week.

The Integrated Case Manager is responsible for case management services within the scope of licensure; develops monitors evaluates and revises the members care plan to meet the members needs with the goal of optimizing member health care across the care continuum. Performs telephonic or face-to-face clinical assessments for the identification evaluation coordination and management of members needs including physical and behavioral health social services and long-term services.

Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team. Manages chronic illnesses co-morbidities and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs. Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements as permissible. Interfaces with Medical Directors Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans. Presents cases at case conferences for multidisciplinary focus. Ensure compliance with regulatory accrediting and company policies and procedures. May assist in problem solving with provider claims or service issues.

Demonstrates the minimum knowledge skills and abilities to care for the individualized needs of the patient to include physical psychological socio-cultural spiritual and cognitive needs as well as functional abilities including the need for diversified use of such practices. Requires strong oral written and interpersonal communication skills problem-solving skills facilitation skills and analytical skills

Education:

• Associates Degree required

• Bachelors preferred

Certification:

• Registered Nurse required

Experience:

• 3 years of nursing experience required

• Managed care preferred

• Discharge planning experience preferred

Keywords: Talroo- Health Case Management Managed Care Discharge Planning

We provide market-competitive compensation packages inclusive of base pay incentives and benefits. The base pay range for full-time employment is $89544.00 - $136468.80 annually. Additional compensation may be available for this role such as shift differentials standby/on-call pay overtime shift premiums extra-shift incentives or bonus opportunities. Compensation within the range may vary based on qualifications experience location market conditions and business needs. Note: If an annual salary is posted it is based on a full-time colleague working 2080 hours annually.

Benefits: Caring For Your Family and Your Career

Medical Dental Vision plans

Adoption Fertility and Surrogacy Reimbursement up to $10000

Paid Time Off and Sick Leave

Paid Parental & Family Caregiver Leave

Emergency Backup Care

Long-Term Short-Term Disability and Critical Illness plans

Life Insurance

401k/403B with Employer Match

Tuition Assistance $5250/year and discounted educational opportunities through Guild Education

Student Debt Pay Down $10000

Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission to improve health every day this is a tobacco-free environment.

For positions that are available as remote work Sentara Health employs associates in the following states:

Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.