106444 - Integrated Case Manager - Registered Nurse

Job description

City/State Bristol, VA Work Shift: First (Days) Overview: Sentara Health in Bristol, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Bristol and surrounding areas as travel is required. The Integrated Case Manager is 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 of 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 a gap in care management for quality programs. Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits of structure or extra-contract...