Integrated Care Manager- Eastern Shore

City/State

Newport News VA

Work Shift

First (Days)

Overview:

Sentara Health is hiring an Integrated Case Manager RN to support members across the Eastern Shore region with a primary focus on Behavioral Health Waiver Services and Complex Care Management.

This is a remote position; however candidates must reside on Virginias Eastern Shore or within a reasonable commuting distance. Regular travel throughout the Eastern Shore is required to conduct in-home and community-based member visits. Travel may comprise approximately 50% to 75% of the workweek.

The Integrated Case Manager RN is responsible for providing comprehensive case management services within the scope of nursing licensure focusing on members with behavioral health needs complex medical conditions intellectual and developmental disabilities and those receiving Medicaid waiver services. The Case Manager develops implements evaluates and revises individualized care plans designed to improve health outcomes promote independence and enhance quality of life.

This role conducts telephonic and face-to-face assessments to identify coordinate and manage members physical health behavioral health social determinants of health long-term services and supports (LTSS) and community resource needs.

• Perform comprehensive assessments of members with complex medical behavioral health and social needs.
• Manage a caseload consisting primarily of members enrolled in waiver programs behavioral health programs and complex care management initiatives.
• Develop and maintain individualized care plans that address physical health behavioral health long-term services and supports and social service needs.
• Coordinate care with members caregivers providers behavioral health professionals community agencies and interdisciplinary care teams.
• Identify members at risk for adverse outcomes and implement interventions to reduce avoidable hospitalizations and emergency department utilization.
• Facilitate access to waiver services community resources behavioral health treatment and specialty care.
• Monitor member progress close gaps in care and support quality improvement initiatives.
• Present complex cases during interdisciplinary case conferences and collaborate with Medical Directors Physician Advisors Behavioral Health teams and community partners.
• Assist with authorization referral and service coordination processes in accordance with benefit plans and regulatory requirements.
• Maintain compliance with all regulatory accreditation and organizational policies and procedures.

• Associate Degree in Nursing required
• Bachelors Degree in Nursing (BSN) preferred

• Active Registered Nurse (RN) license required

• Minimum of three (3) years of clinical nursing experience required
• Experience in care management case management behavioral health managed care Medicaid populations waiver services or community-based care strongly preferred
• Experience working with individuals with complex medical behavioral health intellectual/developmental disability or long-term care needs preferred

We provide market-competitive compensation packages inclusive of base pay incentives and benefits. The base pay range for full-time employment is $89544.00 - $136468.80 annually. Additional compensation may be available for this role such as shift differentials on-call pay shift premiums extra-shift incentives or bonus opportunities. Compensation within the range may vary based on qualifications experience location market conditions and business needs. Note: If an annual salary is posted it is based on a full-time colleague working 2080 hours annually. Sentara offers a comprehensive benefits package including medical dental vision life and disability insurance; 401(k)/403(b) with employer match; paid time off (vacation sick time and holidays); paid parental and military leave; educational assistance or student loan repayment; and voluntary benefits.

Benefits: Caring For Your Family and Your Career

Medical Dental Vision plans

Adoption Fertility and Surrogacy Reimbursement up to $10000

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 $5250/year and discounted educational opportunities through Guild Education

Student Debt Pay Down $10000

Pet Insurance
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.