Integrated Case Manager, RN

Sentara Health

Integrated Case Manager, RN responsible for member care management and case assessment at Sentara Health. Ensures optimal utilization of health benefits and coordinates care for high-risk patients.

Posted 7/21/2026full-timeRemote • Virginia • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management services, including clinical assessments, care plan development, and coordination of care for members with chronic illnesses. Ensures compliance with regulatory standards while effectively managing member needs and facilitating communication among healthcare teams.

Highest-signal resume keywords

Registered NurseCase ManagementClinical AssessmentsCare Plan DevelopmentManaged Care

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Plan MonitoringChronic Illness ManagementGap In Care ManagementDischarge PlanningTelephonic Assessments

Soft Skills

Problem-SolvingCommunicationCollaboration

Certifications & Qualifications

Associates DegreeBachelors Degree (Preferred)

Industry Keywords

HealthcareRegulatory ComplianceInter-Disciplinary TeamsCost-Effective CareQuality Programs

About the role

Key responsibilities & impact

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
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
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

Requirements

What you’ll need

Associates Degree required
Bachelors preferred
Registered Nurse required
3 years of nursing experience required
Managed care preferred
Discharge planning experience preferred

Benefits

Comp & perks

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.