Hybrid Integrated Care Manager, Registered Nurse (RN)

at Sentara Health

• Job title: Integrated Care Manager, Registered Nurse (RN)
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Williamsburg, United States

About the role

• Integrated Nurse Case Manager/RN providing case management and clinical assessments for member needs. Focusing on optimizing member health care and coordinating multidisciplinary treatment plans.

Responsibilities

• Responsible for case management services within the scope of licensure
• Develops, monitors, evaluates, and revises the member's care plan to meet the member's needs
• Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs
• 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
• Assists with the implementation of member care plans by facilitating authorizations/referrals
• Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans
• Presents cases at case conferences for multidisciplinary focus
• Ensures compliance with regulatory, accrediting and company policies and procedures

Requirements

• Registered Nurse (RN) License (Compact or Virginia) REQUIRED
• Associate or Bachelors Degree in Nursing REQUIRED
• 3 years experience in Nursing REQUIRED
• Case Management experience preferred
• Discharge planning experience preferred
• Managed Care or Health Plan experience preferred

Benefits

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• 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 – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.