RN Manager, Integrated Care Management
City/State
Virginia Beach, VA
Work Shift
First (Days)
Overview:
Sentara Health Plan is hiring an RN Manager for the Government Programs Case Management Department.
This role will oversee the Private Duty Nursing (PDN)/Vent and High-Risk Pediatrics team.
This is a Full-time, Remote, 40 hours per week Day shift position Mon-Fri between the hours of 8:00am-5:00pm.
Responsible for managing and coordinating the patient care transitions program. This ensures the patient's progression through the care continuum in a manner that achieves designed clinical and financial outcomes. Participates in the system development and implementation of integration of care transitions along the continuum of care. Works in close collaboration with the multidisciplinary team, in all settings to include ambulatory, post - acute providers and health plans. Serves as mentor by role modeling a professional practice consistent with organizational goals, customer service, clinical effectiveness, and standards of care. Responsible for developing and managing the departmental budget, compliance to federal, state and regulatory requirements.
Education
• BSN Required
• Master's degree preferred
Certification/Licensure
• Active RN license
• For Integrated Care Management departments, specialty certification required within one year of eligibility (ACM, CCM, CCCTM, CMAC or RN-BC). For other service lines, certification based on specialty area required within one year of eligibility.
Experience
• One year of Leadership experience required
• Three years of RN Care Management experience required
• Private Duty Nursing and High-Risk Pediatric experience preferred
• Experience with DMAS, EPSDT, NCQA standards, LTSS, and CCC Plus preferred
Keywords: Talroo-Health Plan, Talroo-Nursing, Indeed, Monster, LinkedIn, elderly disabled consumer direction waiver, PHM NCQA standards, DMAS, Medicaid, RN, BSN, Registered Nurse, Home Care, excel, data analysis, accounts receivable, Epic, JIVA, case management, care coordination, EDCD, long term services and support, EPSDT, LTSS, commonwealth coordinated care plus
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 serves.
In 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.
Apply Now
Virginia Beach, VA
Work Shift
First (Days)
Overview:
Sentara Health Plan is hiring an RN Manager for the Government Programs Case Management Department.
This role will oversee the Private Duty Nursing (PDN)/Vent and High-Risk Pediatrics team.
This is a Full-time, Remote, 40 hours per week Day shift position Mon-Fri between the hours of 8:00am-5:00pm.
Responsible for managing and coordinating the patient care transitions program. This ensures the patient's progression through the care continuum in a manner that achieves designed clinical and financial outcomes. Participates in the system development and implementation of integration of care transitions along the continuum of care. Works in close collaboration with the multidisciplinary team, in all settings to include ambulatory, post - acute providers and health plans. Serves as mentor by role modeling a professional practice consistent with organizational goals, customer service, clinical effectiveness, and standards of care. Responsible for developing and managing the departmental budget, compliance to federal, state and regulatory requirements.
Education
• BSN Required
• Master's degree preferred
Certification/Licensure
• Active RN license
• For Integrated Care Management departments, specialty certification required within one year of eligibility (ACM, CCM, CCCTM, CMAC or RN-BC). For other service lines, certification based on specialty area required within one year of eligibility.
Experience
• One year of Leadership experience required
• Three years of RN Care Management experience required
• Private Duty Nursing and High-Risk Pediatric experience preferred
• Experience with DMAS, EPSDT, NCQA standards, LTSS, and CCC Plus preferred
Keywords: Talroo-Health Plan, Talroo-Nursing, Indeed, Monster, LinkedIn, elderly disabled consumer direction waiver, PHM NCQA standards, DMAS, Medicaid, RN, BSN, Registered Nurse, Home Care, excel, data analysis, accounts receivable, Epic, JIVA, case management, care coordination, EDCD, long term services and support, EPSDT, LTSS, commonwealth coordinated care plus
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 serves.
In 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.
Apply Now