Sentara
Integrated Care Manager/Registered Nurse (RN)
Sentara, Newport News, Virginia, United States, 23600
City/State:
Williamsburg, VA
Work Shift:
First (Days)
Overview Sentara Health Plans is hiring an Integrated Nurse Case Manager/RN in Williamsburg, Yorktown, Newport News, Hampton, VA and surrounding areas.
The position requires both in-person face‑to‑face assessments and remote telephonic assessments for the LTSS waiver population.
Status:
Full‑time, permanent (40 hours per week)
Standard working hours:
8 a.m. – 5 p.m. EST, Monday‑Friday
Location:
Applicants must reside in Williamsburg, Yorktown, Newport News, Hampton, VA and surrounding areas.
Primary responsibilities
Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's 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 member's 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 Teamslarından 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 बनाई कुछ preferred
Managed Care or Health Plan experience
preferred
Education
Bachelors Degree in Nursing
preferred
Certification/Licensure
Registered Nurse (RN) License (Compact or Virginia)
REQUIRED
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products, including employee‑owned and employer‑sponsored 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 services—all to help our members improve their health.
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.com and use the keyword search:
JR-88757
Talroo – Nursing
Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Williamsburg, Yorktown, Newport News, Hampton, Peninsula, Virginia, VA, Managed Care, MCO, Health Plan
Benefits: Caring for Your Family and Your Career
Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
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
401(k)/403(b) with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus if an established 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 30,000‑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/test remote‑work positions, 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. Simulation
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Williamsburg, VA
Work Shift:
First (Days)
Overview Sentara Health Plans is hiring an Integrated Nurse Case Manager/RN in Williamsburg, Yorktown, Newport News, Hampton, VA and surrounding areas.
The position requires both in-person face‑to‑face assessments and remote telephonic assessments for the LTSS waiver population.
Status:
Full‑time, permanent (40 hours per week)
Standard working hours:
8 a.m. – 5 p.m. EST, Monday‑Friday
Location:
Applicants must reside in Williamsburg, Yorktown, Newport News, Hampton, VA and surrounding areas.
Primary responsibilities
Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's 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 member's 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 Teamslarından 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 बनाई कुछ preferred
Managed Care or Health Plan experience
preferred
Education
Bachelors Degree in Nursing
preferred
Certification/Licensure
Registered Nurse (RN) License (Compact or Virginia)
REQUIRED
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products, including employee‑owned and employer‑sponsored 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 services—all to help our members improve their health.
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.com and use the keyword search:
JR-88757
Talroo – Nursing
Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Williamsburg, Yorktown, Newport News, Hampton, Peninsula, Virginia, VA, Managed Care, MCO, Health Plan
Benefits: Caring for Your Family and Your Career
Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
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
401(k)/403(b) with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus if an established 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 30,000‑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/test remote‑work positions, 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. Simulation
#J-18808-Ljbffr