Integrated Nurse Case Manager, Registered Nurse, Maternity/OBGYN

SAPSAPFull TimeRemoteSeniorTeam 10,001+Since 1890H1B No SponsorCompany SiteLinkedIn

Location

Virginia

Posted

8 hours ago

Salary

0

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

Integrated Nurse Case Manager, Registered Nurse, Maternity/OBGYN

Sentara Health

• 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 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.

Job Requirements

  • Bachelors Degree in Nursing preferred
  • Registered Nurse (RN) License (Compact or Virginia) REQUIRED
  • 3 years experience in Nursing REQUIRED
  • Case Management experience preferred
  • Managed Care or Health Plan experience preferred
  • Experience working with low and high risk pregnant population/Maternity/OB/L&D/Mother Baby/Postpartum experience preferred
  • Strong knowledge of physical, psychological, socio-cultural, and cognitive patient needs.
  • Excellent communication skills, both oral and written, as well as strong problem-solving and analytical skills.

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
  • 401k/403B 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 established system and employee eligibility criteria is met.

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