Remote Manager, Care Management RN- VA

Full time
Posted Today
JR-34621

City/State

Norfolk, VA

Overview

Work Shift

First (Days) (United States of America)

• Required: Education Required: N-4YR or 6-8 YR- RN-Bachelor’s Level Degree or Masters Level Degree; OR MSW or /Master Degree in Counseling– Licensed Clinical Social Worker (LCWS) Degree or Licensed Professional Counselor (LPC)
• Certifications (Must have either a RN – BSN or MSN; or a Licensed Clinical Social Worker Degree/MSW  or Licensed Professional Counselor (LPC)
• Required: Case Management- 3 years; Leadership- 3 years
• For 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.

Sentara Health Plans is the health insurance division of Sentara Healthcare.

Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.

With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.

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.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-34621.

#Indeed

#Monster

Talroo – Leadership

Keywords: RN, Case Management, Transition Care Coordination, Manager, Nurse, MCO, Leadership, Managed Care, Health Plan, Healthcare, MSN, LPC, LCSW, Social Work, Counseling

Job Summary

Responsible for managing and coordinating the patient care 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 Required: N-4YR or 6-8 YR- RN-Bachelor’s Level Degree or Masters Level Degree; OR MSW or /Master Degree in Counseling– Licensed Clinical Social Worker (LCWS) Degree or Licensed Professional Counselor (LPC)

Certifications (Must have either a RN – BSN or MSN; or a Licensed Clinical Social Worker Degree/MSW or Licensed Professional Counselor (LPC)

For 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.

BLS (if in a clinical setting).

Qualifications:

N-4YR – RN-Bachelor’s Level Degree (Required)

Basic Life Support (BLS) – Other/National, Certified Case Manager (CCM) – Other/National, Registered Nurse License (RN) – Compact/Multi-State License, Registered Nurse License (RN) – North Carolina, Registered Nurse License (RN) – Virginia

Case Management, Leadership

Skills

Active Learning, Active Learning, Active Listening, Communication, Complex Problem Solving, Coordination, Critical Thinking, Judgment and Decision Making, Leadership, Learning Strategies, Mathematics, Mgmt of Financial Resources, Mgmt of Material Resources, Mgmt of Staff Resources, Microsoft Excel, Microsoft Office, Microsoft Word, Monitoring, Persuasion, Project Management, Quality Control Analysis, Reading Comprehension, Science, Service Orientation, Social Perceptiveness {+ 6 more}

Sentara Healthcare 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.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission “to improve health every day,” this is a tobacco-free environment.