Integrated Nurse Case Manager

City / State

Norfolk, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Health is seeking a dedicated Integrated Nurse Case Manager for the Eastern Shore, VA region!

This is a full-time, work-from-home position requires travel to conduct face-to-face home visits in the member's home or other locations within the Eastern Shore, VA region .

Travel coverage includes Suffolk, Chesapeake, Virginia Beach, Norfolk, and the Eastern Shore region

As an Integrated Care Manager with Sentara, you get to work together in an intensely collaborative way with the patients, family, and members of the medical team to provide patients with the resources they need and help prevent them from readmitting into the hospital. This position's primary duty is customizing what is best for the patients. That would include helping with things like home health, long-term care placement, home medical equipment, homeless and community resources. You will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Click https : / / youtu.be / 3BE5pC5IfYo to hear Meredith tell us about a day in the life of an Integrated Care Manager with Sentara Healthcare.

Qualification :

• Experience working with the adult population
• Knowledge of community health and social service agencies and additional community resources
• Ability to use a variety of electronic information applications / software programs including electronic medical records
• Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel with excellent keyboard and web navigation skills
• Exceptional communication and interpersonal skills with the ability to quickly build rapport
• Ability to work with minimal supervision within the role and scope .

Preferred Qualifications :

About Sentara Health :

For over a decade, Modern Healthcare magazine has ranked Sentara Health among the nation's top integrated healthcare systems. With more than 300 sites of care in Virginia and northeastern North Carolina-including 12 acute care hospitals-we are committed to growth, innovation, and patient safety.

Sentara Benefits :

Sentara Health offers employees comprehensive health & welfare and retirement benefits (401(k) / 403(b) with employer match) designed with you and your family's well-beingin mind. You have a variety of options for medical, dental and vision insurance, life insurance, disability, educational assistance, student loan repayment and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave

Keyword : Indeed, Talroo, LinkedIn

Job Summary

RN Clinician 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.

Requires an RN; BSN preferred

Demonstrates the minimum knowledge, skills and abilities to care for the individualized needs of the patient to include physical, psychological, socio-cultural, spiritual and cognitive needs as well as functional abilities including the need for diversified use of such practices. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills

Qualifications :

BLD - Bachelor's Level Degree (Required)

Discharge Planning, Managed Care, Nursing

Skills

Communication, Microsoft Office, Speaking, Writing

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.