Integrated Nurse Case Manager​/Registered Nurse​/RN Chronic​/Complex in Virginia Bea

Overview

Integrated Nurse Case Manager/Registered Nurse (RN) for Chronic/Complex Condition roles in Norfolk, VA. Full‑time, work‑from‑home with travel for home visits (approx 2–3 visits per week).

Hours:

8 am–5 pm EST, Monday – Friday. Must reside in the Norfolk/Virginia Beach area.

• Manage case management services within scope of RN licensure; develop, monitor, evaluate, and revise member care plans to optimize health across the continuum.
• Conduct telephonic or face‑to‑face clinical assessments to identify, evaluate, coordinate, and manage member needs across physical, behavioral, social, and long‑term services.
• Identify members at high risk for complications and coordinate care with members and care teams.
• Manage chronic illnesses, comorbidities, or disabilities to ensure cost‑effective and efficient use of benefits; conduct gap‑in‑care reviews for quality programs.
• Assist implementation of care plans by facilitating authorizations/referrals within benefit structures or extra‑contractual arrangements as permissible.
• Interface with Medical Directors, Physician Advisors, and Inter‑Disciplinary Teams on treatment plans.
• Present cases at multidisciplinary case conferences; ensure compliance with regulatory, accrediting, and company policies.
• Assist in problem‑solving provider, claims, or service issues as needed.

• High ER utilization members
• Recent hospital discharges
• Members diagnosed with chronic/complex conditions (Asthma, diabetes, heart failure, cancer, heart disease, COPD)

• Associate or Bachelor’s Degree in Nursing (required)
• Registered Nurse (RN) license – Compact or Virginia (required)
• Minimum 3 years nursing experience (required); case‑management experience highly preferred
• Experience with managed‑care or health‑plan settings preferred
• Experience working with chronic/complex condition members preferred (asthma, diabetes, heart failure, cancer, heart disease, COPD)
• Experience in home health, inpatient case management, hospice, transition of care, or discharge planning preferred
• Strong knowledge of physical, psychological, socio‑cultural, and cognitive patient needs
• Excellent oral and written communication; strong problem‑solving and analytical skills

• 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
• 401(k)/403(b) with employer match
• Tuition Assistance – $5,250/year and discounted educational opportunities
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free CEU access
• Pet Insurance
• Legal Resources Plan
• Annual discretionary bonus (upon meeting system criteria)

Reside in Norfolk, Virginia Beach, VA, and surrounding areas.

Sentara Health is an equal‑opportunity employer and prides itself on diversity, inclusion, and belonging.