NURSE CASE MGR
Job title: NURSE CASE MGR in Roanoke, VA at Sentara Health
Company: Sentara Health
Job description: Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Roanoke,VA location!This is a Full Time position with day shift hours and great benefits!The position requires both in person face-to-face assessments and remote telephonic assessments in Roanoke,VAPrimary responsibilities include: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 continuumPerforms 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 servicesIdentifies members for high-risk complications and coordinates care in conjunction with the member and health care teamManages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programsAssists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissibleInterfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plansPresents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and proceduresMay assist in problem solving with provider, claims or service issuesPreferred: Private duty nursing experience and knowledgeable with ventilators in a facility or homeEducationAssociates or Bachelors Degree in NursingCertification/Licensure
- Registered Nurse License (RN) - Nursing License - Compact/Multi-State License required.