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 RequiredMaster's degree preferred

Certification/Licensure

Active RN licenseFor 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 requiredThree years of RN Care Management experience requiredPrivate Duty Nursing and High-Risk Pediatric experience preferredExperience with DMAS, EPSDT, NCQA standards, LTSS, and CCC Plus preferred

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We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$87,443.20-$145,745.60. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.