Job Description

Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Roanoke, VA location! This is a Full Time position with day shift hours and great benefits! The position requires both in person face-to-face assessments and remote telephonic assessments in and around Cana, Hillsville, Independence, Fries, Troutdale, Fancy Gap, Mouth of Wilson, and surrounding communities. Applicants must reside in Atkins, Wytheville, Marion, Chilhowie, Saltville, Rural Retreat, and Fort Chiswell area. Primary responsibilities include: 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 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, 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. Ensures compliance with regulatory, accrediting and company policies and procedures. May assist in problem solving with provider, claims or service issues. Preferred: Private duty nursing experience and knowledgeable with ventilators in a facility or home. Education: Associates or Bachelors Degree in Nursing. Certification/Licensure: Registered Nurse License (RN) - Nursing License - Compact/Multi-State License required. Experience: 3 years experience in Nursing. Discharge planning experience preferred. Managed Care experience preferred. Preferred: Private duty nursing and knowledgeable with ventilators in a facility or home. Benefits include 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; and potential annual discretionary bonus if eligibility criteria are met. Sentara Health is an equal opportunity employer and values diversity and inclusion. This is a tobacco-free environment.

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