City/State

Work Shift

Overview:

Sentara Health Plan is hiring for Supervisor, Integrated Care Management/ Registered RN (RN) for Partners in Pregnancy & Member Engagement Teams for Commercial Health Plan - Remote in Virginia

Status: Full-time, permanent position (40 hours)

Standard working hours: 8am to 5pm EST, M-F

Location: Remote in Virginia or North Carolina.

• 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.

• Supervise a team of up to 10 to 14 FTEs (RN and Patient Services Coordinator)

Education:

• Bachelors Degree in Nursing REQUIRED

Certification/Licensure

• Registered Nurse (RN) License (Compact or Virginia) preferred

• For Integrated Care Management departments, specialty certification required within one year of eligibility (ACM, CCM, CCCTM or RN-BC). For other service lines, certification based on specialty area required within one year of eligibility.

Experience

• 3 years experience in Case Management REQUIRED

• Experience working with low and high risk pregnant population (Maternal Health / Perinatal / OB-GYN /Labor and Delivery / Mother-Baby / Postpartum) experience highly preferred

• Health Plan experience preferred

• Supervisory experience preferred

• Proficient with NCQA guidelines

• Experience with managing teams in a remote environment, motivational interviewing & member engagement, and discharge planning preferred

Keywords: Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Managed Care, MCO, Health Plan, high-risk pregnant members, Maternal Health, Perinatal, OB-GYN, Labor and Delivery, Mother-Baby, Postpartum, Maternity, L&D, Winchester, Shenandoah, Frederick, Rockingham, VA, Virginia, Member Engagement, Discharge Planning

Sentara Health is an equal opportunity employer and 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.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.