Nurse Case Manager, Central Region – Community Visits
Sentara Health
full-time
Posted on:
Location Type: Hybrid
Location: Virginia Beach • Virginia • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- 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
- Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs
- 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
- Assists with the implementation of member care plans by facilitating authorizations/referrals
- 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
Requirements
- Associates or Bachelors Degree in Nursing (Required)
- Virginia or Compact RN License (Required)
- 3 years experience in Nursing (Required)
- Experience in Private Duty Nursing or NICU or Experience working with Ventilators (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
- 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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
case managementclinical assessmentscare plan developmentchronic illness managementdischarge planningventilator managementco-morbidity managementauthorizationsreferralsmanaged care
Soft skills
communicationcoordinationevaluationmonitoringpresentationinterpersonal skillsteam collaborationproblem-solvingorganizational skillsleadership
Certifications
Virginia RN LicenseCompact RN License