Candidates must reside in Virginia or North Carolina. May require onsite work at Sentara Park in Virginia Beach, VA occasionally.
Assumes responsibility, accountability, and leadership for the daily operations, including coordination of work, quality, and service. First-line supervisor in the Department of Medical Care Management for assigned site/function. Facilitates the work of assigned team members. Provides a leadership role in ongoing case manager competency assessment, needs identification, and educational offerings. Provides educational services to the Medical Care Management staff. Participates in the work activities of assigned teams and provides case management services as needed.
Education
BSN requiredCertification/Licensure
Valid RN licenseFor Integrated Care Management departments, specialty certification is required within one year of eligibility (ACM, CCM, CCCTM, CMAC, or CGMT-BC). For other service lines, certification based on specialty area is required within one year of eligibility.Experience
3 years of Case Management RN experience required, Complex Case Integrated Commercial Managed Care preferred.1 year of Leadership experience required.Experience with JIVA and Epic experience preferred.Proficient with NCQA guidelinesExperience with managing teams in a remote environment, motivational interviewing & member engagement, and discharge planningkeywords: LinkedIn, Case Management, RN, Registered Nurse, BSN, Talroo-Nursing, Monster, care coordinator, ACM, CCM, TCM, CMAC or CGMT-BC, MCG, Comercial health plan payors, Managed Care, JIVA, Epic, QNXT, NCQA, member engagement, discharge planning, oncology, ESRD, transplant, Autoimmune, Behavioral health, integrated care, complex cases
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$76,731.20-$127,878.40. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.