NURSE CASE MGR - Tidewater
NURSE CASE MGR - Tidewater
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Salary Not Disclosed
1 Vacancy
Job Description
City/State
Virginia Beach VAWork Shift
First (Days)Overview:
Sentara Health is seeking a dedicated Nurse Case Manager for the Tidewater VA region!
This full-time work-from-home position requires travel to conduct face-to-face home visits in the members home or other locations within the Tidewater VA region. Travel coverage includes Hampton Road Newport News Portsmouth Suffolk Chesapeake .The members will be predominantly in the above areas and possibly the Virginia Beach & Norfolk.
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 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. Ensures compliance with regulatory accrediting and company policies and procedures
May assist in problem solving with provider claims or service issues
Preferred: Private duty nursing experience and knowledgeable with ventilators in a facility or home
Education
Associates or Bachelors Degree in Nursing
Certification/Licensure
- Registered Nurse License (RN) - Nursing License - Compact/Multi-State License required.
Experience
3 years experience in Nursing
Discharge planning experience preferred
Managed Care experience preferred
Preferred: Private duty nursing and knowledgeable with ventilators in a facility or home
Keywords: Care Coordination Case Management Human Services Community Health Health Education RN Case Manager Registered Nurse BSN ADN Private Duty Ventilator LinkedIn Talroo-Nursing
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.
Employment Type
Full-Time
