Nurse Case Manager-NOVA, VA

City/State Manassas, VAWork Shift First (Days)
Overview:

Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VAThis is a Full Time position with day shift hours and great benefits!

Requires travel to conduct face-to-face home visits in members’ homes or other locations throughout the Northern Virginia Region, VA (including Arlington, Manassas, Bristow, Haymarket, Woodbridge, Front Royal, and Warrenton).Preferred residence locations include:

Manassas, VABristow, VAHaymarket, VAPrince William County area Warrenton, VA / Fauquier County area (also considered)
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

Education

Associates or Bachelors Degree in Nursing Certification/Licensure Registered Nurse License (RN) - Nursing License - Compact/Multi-State License required.

Experience3 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 Keywords:
Care Coordination, Case Management, Human Services, Community Health, Health Education, RN Case Manager, Registered Nurse, BSN, ADN, Private Duty, Ventilator, Linked In, Talroo-Nursing ,Manassas, Bristow, Haymarket, Prince William County ,Warrenton, VA , Fauquier County area 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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