Integrated Nurse Case ManagerRN- Norfolk VA Beach Suffolk Chesapeake Portsmouth Williamsburg and Newport News VA
Integrated Nurse Case ManagerRN- Norfolk VA Beach Suffolk Chesapeake Portsmouth Williamsburg and Newport News VA
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$ 66830 - 111384
1 Vacancy
Job Description
City/State
Virginia Beach VAWork Shift
First (Days)Overview:
Sentara Health Plansis hiring an Integrated Nurse Case Manager/RNfor Norfolk VA Beach Suffolk Chesapeake Portsmouth VA!
Signon bonus offer to qualified applicants!
The position requires both inperson facetoface assessments and remote telephonic assessments for the waiver population.
Status: Fulltimepermanent position 40 hours)
Standard working hours: 8am to 5pm EST MF
Location: Applicants must reside in Norfolk VA Beach Suffolk Chesapeake Portsmouth VA!
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.
Required qualifications:
Registered Nurse (RN) License (Compact or Virginia) REQUIRED
Associate or Bachelors Degree in Nursing REQUIRED
3 years experience in Nursing REQUIRED
Preferred qualifications:
Case Management experience preferred
Discharge planning experience preferred
Managed Care or Health Plan experience preferred
Sentara Health Plans is the health insurance division of Sentara Healthcare.
Sentara Health Plansis hiring an Integrated Case Manager/RN Williamsburg and Newport News VA!
Signon bonus offer to qualified applicants!
The position requires both inperson facetoface assessments and remote telephonic assessments for the waiver population.
Status: Fulltimepermanent position 40 hours)
Standard working hours: 8am to 5pm EST MF
Location: Applicants must reside in Williamsburg and Newport News VA and surrounding areas.
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:
Bachelors Degree in Nursing preferred
Certification/Licensure
Registered Nurse (RN) License (Compact or Virginia) REQUIRED
Preferred qualifications:
3 years experience in Nursing REQUIRED
Case Management experience preferred
Discharge planning experience preferred
Managed Care or Health Plan experience preferred
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 and use the following as your Keyword Search: JR77797
Talroo Nursing
Care Coordination Case Management RN Case Manager Registered Nurse BSN ADN Nursing Norfolk VA Beach Suffolk Chesapeake Portsmouth Tidewater Managed Care MCO Health Plan
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
