Integrated Nurse Case Manager, Registered Nurse, RN – Chronic/Complex Condition

Sentara Health

Integrated Nurse Case Manager coordinating chronic and complex care for Sentara Health Plans members in Virginia. Conducting assessments, care planning, referrals, and home visits.

Posted 8/4/2026full-timeRemote • Virginia • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management services, including developing and revising care plans, conducting clinical assessments, and managing chronic illnesses. Proficient in coordinating care with interdisciplinary teams while ensuring compliance with regulatory standards.

Highest-signal resume keywords

Registered Nurse (RN) LicenseCase Management ExperienceManaged Care ExperienceChronic Condition ManagementExcellent Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentsCare Plan DevelopmentChronic Illness ManagementGap-in-Care ManagementProblem SolvingAnalytical Skills

Soft Skills

Strong Communication SkillsInterpersonal Skills

Certifications & Qualifications

Associate or Bachelor’s Degree in Nursing

Industry Keywords

Home HealthInpatient Case ManagementHospiceTransition of CareDischarge Planning

About the role

Key responsibilities & impact

Provide case management services within the scope of licensure
Develop, monitor, evaluate, and revise member care plans to optimize healthcare across the care continuum
Perform telephonic and face-to-face clinical assessments
Identify, evaluate, coordinate, and manage members’ physical, behavioral, social-service, and long-term-service needs
Identify members at risk for complications and coordinate care with members and healthcare teams
Manage chronic illnesses, comorbidities, and disabilities for cost-effective utilization of health benefits
Conduct gap-in-care management for quality programs
Facilitate authorizations and referrals within the benefits structure or permissible extra-contractual arrangements
Interface with Medical Directors, Physician Advisors, and interdisciplinary teams on care-management treatment plans
Present cases at multidisciplinary case conferences
Ensure compliance with regulatory, accrediting, and company policies and procedures
Assist with provider, claims, or service-issue problem solving
Conduct face-to-face home visits, targeting at least 12 monthly

Requirements

What you’ll need

Associate or Bachelor’s Degree in Nursing required
Registered Nurse (RN) License, Compact or Virginia, required
3 years of nursing experience required
Case Management experience highly preferred
Managed Care or Health Plan experience preferred
Experience working with chronic/complex condition members preferred
Home health, inpatient case management, hospice, transition of care, and discharge planning experience preferred
Strong knowledge of physical, psychological, socio-cultural, and cognitive patient needs
Excellent oral and written communication skills
Strong problem-solving and analytical skills
Must reside in Hampton, Newport News, Yorktown, Williamsburg, Virginia, or surrounding areas
Ability to work 8 a.m. to 5 p.m. EST, Monday through Friday
Ability to travel for face-to-face home visits

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
Annual discretionary bonus if established system and employee eligibility criteria is met
Work-from-home position
Professional development and a continued employment philosophy