Integrated Nurse Case ManagerRNMaternityOBGYN for CentralRichmond VA
Integrated Nurse Case ManagerRNMaternityOBGYN for CentralRichmond VA
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Job Description
City/State
Richmond VAWork Shift
First (Days)Overview:
Sentara Health Plansis hiring an Integrated Nurse Case Manager/RN/Maternity/OBGYN for Central/Richmond VA!
Signon bonus offer to qualified applicants!
This is a fulltime workfromhomeposition that requires travel to conduct facetoface home visits in the members home or other locations within the Central/Richmond VA region.
Status: Fulltimepermanent position 40 hours)
Standard working hours: 8am to 5pm EST MF
Location: Applicants must be reside in Central/Richmond VA region!
Primary responsibilities include:
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 facetoface clinical assessments for the identification evaluation coordination and management of members needs including physical and behavioral health social services and longterm services
Identifies members for highrisk complications and coordinates care in conjunction with the member and health care team
Manages chronic illnesses comorbidities 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 extracontractual arrangements as permissible
Interfaces with Medical Directors Physician Advisors and/or InterDisciplinary Teams on care management treatment plans
Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory accrediting and company policies and procedures
May assist in problem solving with provider claims or service issues.
Education:
Associate or Bachelors Degree in Nursing REQUIRED
Certification/Licensure:
Registered Nurse (RN) License (Compact or Virginia) REQUIRED
Experience:
3 years experience in Nursing REQUIRED
Case Management experience preferred
Managed Care or Health Plan experience preferred
Experience working with low and high risk pregnant population/Maternity/OB/L&D/Mother Baby/Postpartum experiencepreferred
Strong knowledge of physical psychological sociocultural and cognitive patient needs.
Excellent communication skills both oral and written as well as strong problemsolving and analytical
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employeeowned and employersponsored plans as well as Individual & Family Health Plans Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network including specialists primary care physicians and hospitals.
We offer programs to support members with chronic illnesses customized wellness programs and integrated clinical and behavioral health servicesall to help our members improve their health.
Our success is supported by a familyfriendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People Quality Patient Safety Service and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply please go to www.sentaracareers and use the following as your Keyword Search: JR76479
#Indeed
Talroo Nursing
Care Coordination Case Management RN Case Manager Registered Nurse BSN ADN Nursing Richmond Central Managed Care MCO Health Plan highrisk pregnant members Maternity OBGYN Labor and Delivery Mother and Baby Postpartum
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
