Integrated Nurse Care Manager-CentralSouth-Central Virginia region
Integrated Nurse Care Manager-CentralSouth-Central Virginia region
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$ 66830 - 111384
1 Vacancy
Job Description
City/State
Richmond VAWork Shift
First (Days)Overview:
Sentara Healthcare is currently hiring an Integrated Nurse Case Manager Central/SouthCentral Virginia region
This is aFull Timeposition with day shift hours and great benefits!
The position requires travel to conduct facetoface home visits in the members home within the Central/SouthCentral Virginia region
This position is based in Virginias Central/SouthCentralregion including but not limited to: burg Boonsboro Madison Heights Bedford Evington and Rustburg
Applicants must reside in or near one of these locations to be considered for the role.
The Integrated Care Manager (ICM) is a Registered Nurse Clinician responsible for providing comprehensive case management services to a defined highrisk member population. This role focuses on supporting individuals with complex care needs and aims to optimize health outcomes through proactive coordination care planning and resource management across the care continuum.
Target Member Population Includes:
High Emergency Room (ER) utilizers
Recent hospital discharges
Members diagnosed with heart failure COPD or diabetes
Individuals with Developmental Disability (DD) waivers
Key Responsibilities:
Perform telephonic and/or facetoface clinical assessments to identify evaluate and manage member needs including medical behavioral health social and longterm care services
Develop monitor evaluate and revise individualized care plans tailored to member needs and health goals
Identify members at risk for complications or rehospitalizations and coordinate timely interventions with the member caregiver and health care team
Support management of chronic illnesses comorbidities and disabilities ensuring appropriate utilization of benefits and adherence to care plans
Conduct gap in care management as part of quality improvement initiatives
Facilitate necessary authorizations and referrals within benefit guidelines or through extracontractual arrangements when appropriate
Collaborate with Medical Directors Physician Advisors and Interdisciplinary Teams to review and align on care plans and treatment recommendations
Present member cases in case conferences to ensure a multidisciplinary approach to care
Ensure all activities are compliant with regulatory standards accreditation requirements and company policies
Assist in resolving provider claims or servicerelated issues impacting member care
Education
Associates or Bachelors Degree in Nursing
Certification/Licensure
- Registered Nurse License (RN) Nursing License Compact/MultiState License required.
Experience
3 years experience in Nursing
Strong background in case management including the ability to develop monitor and revise individualized care plans for complex member populations.
Experience working with highrisk members such as those with: Frequent ER utilization / Recent hospital discharges / Chronic conditions (e.g. heart failure COPD diabetes/ Individuals with Developmental Disability (DD) waivers.
Ability to collaborate with interdisciplinary teams including physicians social workers and behavioral health professionals
Excellent communication critical thinking and organizational skills
Demonstrated flexibility and adaptability in a fieldbased role with travel requirements
Keywords: Care Coordination Case Management Human Services Community Health Health Education RN Case Manager #INDEED #ZipRecruiter LinkedIn TalrooNursing ER utilization discharges heart failure COPD diabetes Developmental Disability (DD) waivers.
We provide marketcompetitive compensation packages inclusive of base pay incentives and benefits. The base pay rate for Full Time employment is:$66830.40$111384.00Additional compensation may be available for this role such as shift differentials standby/oncall overtime premiums extra shift incentives or bonus opportunities.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 30000member 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 tobaccofree 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.
Required Experience:
Manager
Employment Type
Full-Time
