Urgently Need Remote (Northern Virginia Only) Nurse Case Manager-Hire Bonus for Qualified Candidates in Woodbridge, VA
Job title: Remote (Northern Virginia Only) Nurse Case Manager-Hire Bonus for Qualified Candidates
Company: Sentara Health
Job description: Optima Northern Virginia is hiring a Nurse Case Manager
This position is Remote for candidates that live in Northern Virginia: Winchester, Fairfax, Culpper, Manassas, Arlington, Luray, Front Royal, Leesburg and surrounding areas!
Sign on Bonus for Qualified Applicants
The Nurse Case Manager is 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.
Nurse Case Managers manage 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. Nurse Case Manager 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.
Job Requirements:
RN License (Virginia/Compact)
Associates or Bachelors Degree in Nursing
Nursing experience 3 years required
Discharge planning experience preferred
Managed Care experience preferred
Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks and more.
Sentara employees strive to make our communities healthier places to live. Were setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits,
Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!
Keywords: nursing, discharge planning, managed care, case management, RN, nurse, health plan, health care, Indeed, Monster
The Nurse Case Manager is 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. RN Case Manager 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. Nurse Case Manager may assist in problem solving with provider, claims or service issues.
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Registered Nurse License (RN) - Florida - Florida
Registered Nurse License (RN) - Delaware - Delaware
Registered Nurse License (RN) - Colorado - Colorado
Registered Nurse License (RN) - Arkansas - Arkansas
Registered Nurse License (RN) - Arizona - Arizona
Registered Nurse License (RN) - Alabama - Alabama
Registered Nurse License (RN) - Other/National
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Registered Nurse License (RN) - Wisconsin - Wisconsin
Registered Nurse License (RN) - West Virginia - West Virginia
Registered Nurse License (RN) - Virginia
Registered Nurse License (RN) - Utah - Utah
Registered Nurse License (RN) - Texas - Texas
Registered Nurse License (RN) - Tennessee - Tennessee
Registered Nurse License (RN) - South Dakota - South Dakota
Registered Nurse License (RN) - South Carolina - South Carolina
Registered Nurse License (RN) - Oklahoma - Oklahoma
Registered Nurse License (RN) - North Dakota - North Dakota
Bachelor's Level Degree
Bachelor's Level Degree
Associate's Level Degree
Managed Care 2 years
Discharge Planning Previous Experience
Nursing 3 years
Judgment and Decision Making
Critical Thinking
Complex Problem Solving
Communication
Service Orientation
Microsoft Office
Expected salary:
Location: Woodbridge, VA
Apply Now
Company: Sentara Health
Job description: Optima Northern Virginia is hiring a Nurse Case Manager
This position is Remote for candidates that live in Northern Virginia: Winchester, Fairfax, Culpper, Manassas, Arlington, Luray, Front Royal, Leesburg and surrounding areas!
Sign on Bonus for Qualified Applicants
The Nurse Case Manager is 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.
Nurse Case Managers manage 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. Nurse Case Manager 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.
Job Requirements:
RN License (Virginia/Compact)
Associates or Bachelors Degree in Nursing
Nursing experience 3 years required
Discharge planning experience preferred
Managed Care experience preferred
Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks and more.
Sentara employees strive to make our communities healthier places to live. Were setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits,
Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!
Keywords: nursing, discharge planning, managed care, case management, RN, nurse, health plan, health care, Indeed, Monster
The Nurse Case Manager is 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. RN Case Manager 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. Nurse Case Manager may assist in problem solving with provider, claims or service issues.
Registered Nurse License (RN) - North Carolina
Registered Nurse License (RN) - New Mexico - New Mexico
Registered Nurse License (RN) - New Jersey - New Jersey
Registered Nurse License (RN) - New Hampshire - New Hampshire
Registered Nurse License (RN) - Nebraska - Nebraska
Registered Nurse License (RN) - Montana - Montana
Registered Nurse License (RN) - Missouri - Missouri
Registered Nurse License (RN) - Mississippi - Mississippi
Registered Nurse License (RN) - Maryland - Maryland
Registered Nurse License (RN) - Maine - Maine
Registered Nurse License (RN) - Louisiana - Louisiana
Registered Nurse License (RN) - Kentucky - Kentucky
Registered Nurse License (RN) - Kansas - Kansas
Registered Nurse License (RN) - Iowa - Iowa
Registered Nurse License (RN) - Indiana - Indiana
Registered Nurse License (RN) - Idaho - Idaho
Registered Nurse License (RN) - Georgia - Georgia
Registered Nurse License (RN) - Florida - Florida
Registered Nurse License (RN) - Delaware - Delaware
Registered Nurse License (RN) - Colorado - Colorado
Registered Nurse License (RN) - Arkansas - Arkansas
Registered Nurse License (RN) - Arizona - Arizona
Registered Nurse License (RN) - Alabama - Alabama
Registered Nurse License (RN) - Other/National
Registered Nurse License (RN) - Wyoming - Wyoming
Registered Nurse License (RN) - Wisconsin - Wisconsin
Registered Nurse License (RN) - West Virginia - West Virginia
Registered Nurse License (RN) - Virginia
Registered Nurse License (RN) - Utah - Utah
Registered Nurse License (RN) - Texas - Texas
Registered Nurse License (RN) - Tennessee - Tennessee
Registered Nurse License (RN) - South Dakota - South Dakota
Registered Nurse License (RN) - South Carolina - South Carolina
Registered Nurse License (RN) - Oklahoma - Oklahoma
Registered Nurse License (RN) - North Dakota - North Dakota
Bachelor's Level Degree
Bachelor's Level Degree
Associate's Level Degree
Managed Care 2 years
Discharge Planning Previous Experience
Nursing 3 years
Judgment and Decision Making
Critical Thinking
Complex Problem Solving
Communication
Service Orientation
Microsoft Office
Expected salary:
Location: Woodbridge, VA
Apply Now