Manager, Integrated Care Management – RN, LPC, LCSW, LCMHC
Sentara Health
full-time
Posted on:
Location Type: Remote
Location: Virginia • United States
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About the role
- Responsible for managing and coordinating the patient care transitions program.
- Ensures the patient's progression through the care continuum in a manner that achieves designed clinical and financial outcomes.
- Participates in the system development and implementation of integration of care transitions along the continuum of care.
- Works in close collaboration with the multidisciplinary team, in all settings including ambulatory, post-acute providers and health plans.
- Serves as mentor by role modeling a professional practice consistent with organizational goals, customer service, clinical effectiveness, and standards of care.
- Responsible for developing and managing the departmental budget, compliance to federal, state and regulatory requirements.
- Manages the DSNP team with oversight of Medicare and Medicaid requirements.
- Oversees contractual compliance and NCQA requirements.
- Leads 5 direct reports (supervisors) and 66 indirect reports, including care coordinators, ICMs, and LCSWs, etc.
Requirements
- Bachelor’s Degree REQUIRED
- One of the following is REQUIRED: Registered Nurse License (RN) - Nursing License - Compact/Multi-State License or Licensed Clinical Social Worker (LCSW) - State license - North Carolina Social Work Certification and Licensure Board (NCSWCLB) or Qualified Mental Health Professional (QMHP) - State License - Virginia Department of Health Professionals (VADHP) or Licensed Clinical Mental Health Counselor (LCMHC) - State License - North Carolina Board of Licensed Clinical Mental Health Counselors (NCBLCMHC) or Licensed Professional Counselor (LPC) - State license - Virginia Department of Health Professionals (VADHP) or Licensed Professional Counselor (LPC) - State license - North Carolina Board of Licensed Clinical Mental Health Counselors (NCBLCMHC)
- 3 years of case management experience REQUIRED
- 1 year of leadership experience REQUIRED
- With extensive Medicare/DSNP experience preferred
- Has knowledge of LTSS Medicaid requirements
- Has worked with State Medicaid Agency Contract (SMAC)
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 & Tools
case managementbudget managementclinical effectivenesscontractual complianceMedicare requirementsMedicaid requirementsLTSS Medicaid requirementscare transitionsintegration of carecustomer service
Soft Skills
leadershipmentoringcollaborationcommunicationorganizational skillsrole modelingteam managementinterpersonal skillsproblem-solvingadaptability
Certifications
Registered Nurse License (RN)Licensed Clinical Social Worker (LCSW)Qualified Mental Health Professional (QMHP)Licensed Clinical Mental Health Counselor (LCMHC)Licensed Professional Counselor (LPC)