Nurse Case Manager Job at Sentara Health, Virginia Beach, VA

SnpzellyT3pxL1RiTWpIdk5maDNRYzZt
  • Sentara Health
  • Virginia Beach, VA

Job Description

Overview

Sentara Health Plans is currently hiring an Integrated Nurse Case Manager in Tidewater, Virginia. This remote position requires frequent in?person assessments across several locations in the Tidewater region.

Location & Travel

Remote (requires frequent travel). Assessment locations include Virginia Beach, Chesapeake, Norfolk, Suffolk, Portsmouth, and occasionally Hampton, Newport News, and Williamsburg.

Job Type & Schedule

Full Time (40 hrs/week). Shift: Day (8am?5pm). First (Days).

Primary Responsibilities


  • Provide case management services within scope of licensure; develop, monitor, and revise member care plans to optimize health outcomes.
  • Conduct telephonic or face?to?face clinical assessments to evaluate and coordinate physical, behavioral, and social health needs.
  • Identify high?risk members and coordinate care with the member and health care team.
  • Manage chronic illnesses and co?morbidities to ensure cost?effective utilization of health benefits.
  • Assist in implementing member care plans with authorizations/referrals as permitted.
  • Collaborate with Medical Directors, Physician Advisors, and interdisciplinary teams on treatment plans.
  • Present cases at multidisciplinary conferences and maintain compliance with regulatory and company policies.
  • Support problem?solving with providers, claims, or service issues as needed.


Preferred Qualifications
  • Private duty nursing experience, especially with ventilator management in a facility or home setting.


Education
  • Associates or Bachelors Degree in Nursing (required).


Licensure & Certification
  • Virginia or Compact RN License (required).


Experience
  • Minimum 3 years of nursing experience.
  • Experience in private duty nursing, NICU, or working with ventilated patients (required).
  • Discharge planning experience (preferred).
  • Managed care experience (preferred).


Benefits
  • 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 CEUs and professional development
  • Pet Insurance
  • Legal Resources Plan



Keywords

Care Coordination, Case Management, Human Services, Community Health, Health Education, RN Case Manager, Registered Nurse, BSN, ADN, Private Duty, Ventilator, LinkedIn, Talroo?Nursing

Equal Opportunity Employer

Sentara Health is an equal?opportunity employer and proudly embraces diversity, inclusion, and belonging. The workforce strives to reflect the communities served. We maintain a tobacco?free environment and support the mission to improve health every day.

#J-18808-Ljbffr

Job Tags

Full time, Temporary work, Currently hiring, Remote work, Shift work,

Similar Jobs

Riverside Transport

CDL A Truck Driver - $1500 signing bonus Job at Riverside Transport

 ...Job Description Riverside Transport is hiring experienced Class A CDL Drivers! RTI is a family-oriented trucking company that cares about its customers, staff, and drivers.\n \n Hiring CDL-A Drivers \n \n Experienced drivers earn up to $93,600 per year \n... 

U.S. Dermatology Partners

Data Entry Specialist Job at U.S. Dermatology Partners

 ...Summary (Summary of the basic functions of the position) The Data Entry Specialist provides critical administrative support to ensure...  ...and written communication skills Basic understanding of medical terminology, preferred Basic understanding of patient confidentiality... 

Ladgov Corporation

Valet Parking Attendant Job at Ladgov Corporation

 ...Description Job Description Duties: Greet and assist patients, visitors, and staff in a professional and respectful manner. Park and retrieve vehicles efficiently, ensuring wait times are under 10 minutes. Maintain an organized valet area and securely store... 

Tallgrass Freight Company

Freight Broker Agent Job at Tallgrass Freight Company

 ...headquartered in Kansas City, MO, Tallgrass Freight Co. has earned a reputation as one of...  ...to foster close collaborationwhere agents dont compete against each other, but grow...  ...Looking For: ~1+ years of recent experience as a freight broker or agent ~ Proven... 

First Student

School Van Driver Job at First Student

 ...and implement the most advanced training and technology the transportation industry has to offer. Now Hiring Part Time School Van Drivers for New Britain, CT! P roudly serving New Britain Public Schools As a First Student Part Time School Van Driver you will play...