RN Manager, Commercial Case Management

Sentara Health Plan is hiring a Full-Time Day shift

RN Manager, Integrated Care Management for the Commercial Case Management team.

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 required

Certification/Licensure

• Valid RN license
• For 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. Chronic conditions, Pregnancy, Behavioral Health, and Complex case experience preferred.
• MCO experience preferred.
• 1 year Leadership experience required.

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