Sentara Health Plan is hiring a Temporary RN Case Management/Care Coordinator for the Medicare Chronic Special Needs Program (C-SNP).

*Estimated 3-4 month temporary assignment.

This is a Temporary, 40 hours per week day shift position Mon-Fri between the hours of 8:00am-5:00pm.

The position is remote – work from home is available only in Virginia.

Temporary positions do not offer benefits and the pay rate is firm at $47.25/hr.

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.

Education

RN DiplomaBSN preferred

Certification/Licensure

RN License (Required)

Experience

Three years of RN experience required.Acute care experience in a hospital setting, specifically with Pulmonary, Cardiac, and Diabetic patients or previous Medicare Case Management/Care Coordination 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:$66,830.40-$111,384.00. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.