Company

Sentara HealthcareSee more

addressAddressRichmond, VA
type Form of workTemporary | Full-time
salary Salary$47 an hour
CategoryHealthcare

Job description

Sentara Health Plans is hiring a Temporary Integrated Nurse Case Manager in Richmond Virginia!

This position has full time hours and will last for 6 months with the potential of extending and going permanent. The position requires both in person face-to-face assessments and remote telephonic assessments!

Position requires in person assessments to be done in members homes

Applicants must be located in the Richmond, VA or surrounding area

Area includes: Richmond, Glen Allen, Ashland, Fredericksburg, Midlothian

As an Integrated Nurse Case Manager you will perform a variety of casework duties and provides case management services to patients, families, and designated caregivers. Must develop, participate and monitor multidisciplinary collaboration of services to patients where appropriate. Assist adult patients and their families with personal and environmental difficulties associated with medical conditions up to and including at time of terminal illnesses.
Minimum Qualifications:

  • RN License (Virginia)
  • Associates or Bachelors Degree in Nursing
  • 3 years experience in Nursing

Preferred Qualifications:

  • Case Management experience
  • Experience working with Waiver Population

Sentara Health Plans is the health insurance division of Sentara

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.

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!

Keywords: Care Coordination, Case Management, Human Services, Community Health, Health Education, RN Case Manager, Registered Nurse, BSN, ADN

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
  • Registered Nurse (RN) Single State - Nursing License - North Carolina
  • Registered Nurse License (RN) - Nursing License - Compact/Multi-State License
  • Registered Nurse (RN) Single State - Nursing License - Virginia Department of Health Professionals (VADHP)
  • Bachelor's Level Degree
  • Bachelor's Level Degree
  • Associate's Level Degree
  • Nursing 3 years
  • Discharge Planning Previous Experience
  • Managed Care 2 years
  • Communication
  • Complex Problem Solving
  • Critical Thinking
  • Judgment and Decision Making
  • Microsoft Office
  • Service Orientation

Benefits

Health insurance
Refer code: 8796256. Sentara Healthcare - The previous day - 2024-03-30 05:47

Sentara Healthcare

Richmond, VA
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