Nurse Case Manager-Northern Virginia​/Winchester Region, VA

** City/State
** Manassas, VA
** Work Shift
** First (Days)
** Overview:**##
** Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for South West Virginia Region!
** This is a Full Time position with day shift hours and great benefits!

Requires travel to conduct
** face-to-face home visits in
** the member’s home or other locations within the  south west region of VA (Wise county, Lee county, Scott county, Dickenson county, Russel county, Washington county, Bristol) **.
**** 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:
Caring For Your Family and Your Career****•
** 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.
** Sentara Health is an equal opportunity employer
** and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it  support of our mission “to improve health every day,” this is a tobacco-free environment.
** For positions that are available as remote work,*
* ** Sentara Health employs associates in the following states:
** Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
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