Founded in 1888 as a 25-bed Retreat for the Sick, Sentara Healthcare is now the largest integrated health care provider in Virginia and northeastern North Carol
Integrated Case Manager - Registered Nurse
Location
Virginia
Posted
10 hours ago
Salary
0
Seniority
Senior
Job Description
Integrated Case Manager - Registered Nurse
Sentara Healthcare
Title: 106444 - Integrated Case Manager - Registered Nurse Hybrid Location: Bristol United States Job Description: City/State Bristol, VA Work Shift First (Days) Overview: Sentara Health in Bristol, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Bristol and surrounding areas as travel is required. The Integrated Case Manager is 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 of 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 a gap in care management for quality programs. Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits of 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. Ensure compliance with regulatory, accrediting and company policies and procedures. May assist in problem solving with provider, claims or service issues. Demonstrates the minimum knowledge, skills and abilities to care for the individualized needs of the patient to include physical, psychological, socio-cultural, spiritual and cognitive needs as well as functional abilities including the need for diversified use of such practices. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Education: - Associates - Bachelors preferred Certification: - Registered Nurse required Experience: - 3 years of nursing experience required - Managed care preferred - Discharge planning experience preferred Keywords: Talroo- Health, Case Management, Managed Care, Discharge Planning 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 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. 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 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.
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