Integrated Care Manager​/Registered Nurse; RN

Integrated Nurse Case Manager / RN – Williamsburg, VA (and surrounding areas)

Sentara Health Plans is hiring an Integrated Nurse Case Manager/RN in Williamsburg, Yorktown, Newport News, Hampton, VA and surrounding areas. The position requires both in-person face‑to‑face assessments and remote telephonic assessments for the LTSS waiver population. Status:
Full‑time, permanent (40 hours) with standard working hours 8:00 a.m.–5:00 p.m. EST, Monday–Friday. Applicants must reside in the specified cities.

• 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.

• Registered Nurse (RN) License (Compact or Virginia).
• Associate or Bachelor's Degree in Nursing.
• At least 3 years of nursing experience.

• Case‑management experience.
• Discharge‑planning experience.
• Managed‑care or health‑plan experience.
• Bachelor’s Degree in Nursing (preferred).

• Medical, dental, and 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 per 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.
• Opportunity to earn an annual discretionary bonus if eligibility criteria are met.

Sentara Health is an equal‑opportunity employer and prides itself on the diversity and inclusiveness of its workforce. In support of our mission “to improve health every day,” this is a tobacco‑free environment.

To apply, please visit  and use the keyword search: JR-92300.

Remote‑eligible positions are available 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.