Care Coordinator​/Licensed Practical Nurse; LPN; LTSS Waiver​/Home Health in Culpeper, Fauqu

Overview

Sentara Health Plans is hiring a Care Coordinator/ Licensed Practical Nurse (LPN) for LTSS Waiver/ Home Health in Culpeper, Warrenton, Fauquier, Catlett, Madison, Orange, Brightwood, Bealeton, Washington, Rappahannock County, Gordonsville, VA. This full‑time, permanent position (40 hours) requires in‑person assessments and remote/home office work with the LTSS Waiver population. The candidate must reside within the listed counties. Standard working hours are 8am to 5pm EST, Monday to Friday.

• Facilitate, implement and coordinate the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Member Outreach Program and ensure overall compliance with immunization and EPSDT examinations.
• Serve as the health plan resource for the EPSDT/Well Child Program and all childhood exams, screenings, and vaccinations recommended by DMAS and per HEDIS measures.
• Enter data and monitor reports to increase utilization of EPSDT services.
• Maintain a tracking system to identify new enrollees and children’s non‑compliance with EPSDT periodicity and immunization schedules.
• Ensure access to periodic preventive health care for members under age 21 by promoting and coordinating child wellness in alignment with DMAS, the health plan, and other professional organization initiatives.
• Conduct notifications of periodic screening requirements; develop educational materials and provide training to members and providers.
• Triage members with special healthcare needs (CSHN) using appropriate screening tools and assessments.
• Provide complex case management to members with complex needs.
• Perform related field work and community engagement travel as needed to increase EPSDT awareness and compliance.
• Assist with EPSDT policies, procedures and completion of service authorizations.

• Associate’s degree in Nursing preferred.
• Bachelor’s degree in Health & Human Services‑related field or related experience in lieu of education accepted.
• Licensed Practical Nurse (LPN) or Bachelor’s prepared health professional strongly preferred.

• LPN license in VA or Compact/Multistate preferred.

• 3 years Managed Care experience required.
• Case Management experience preferred.
• Long‑Term Services and Supports (LTSS) waiver and Home Health experience preferred.
• Behavioral Health experience is secondary.

• 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 are met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its workforce. This is a tobacco‑free environment.