Manager, Care Management Private Duty Nursing Job at Sentara, Virginia Beach, VA

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  • Sentara
  • Virginia Beach, VA

Job Description

Job Description

City/State

Virginia Beach, VA

Work Shift

First (Days)

Overview:

Sentara Health Plan is hiring a Manager for the Private Duty Nursing Case Management Department.

This is a Full-time, Remote, 40 hours per week Day shift position Mon-Fri between the hours of 8:00am-5:00pm.

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
  • Master's degree preferred

Certification/Licensure

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

Experience

  • One year of Leadership experience required
  • Three years of RN Care Management experience required
  • Private Duty Nursing experience preferred
  • Experience with DMAS, LTSS, and CCC Plus preferred

Keywords: Talroo-Health Plan, Talroo-Nursing, Indeed, Monster, LinkedIn, elderly disabled consumer direction waiver, NCQA standards, DMAS, Medicaid, RN, BSN, Registered Nurse, Home Care, excel, data analysis, accounts receivable, Epic, JIVA, case management, care coordination, EDCD, long term services and support

Benefits: Caring For Your Family and Your Career

Medical, Dental, Vision plans

Adoption, Fertility and Surrogacy Reimbursement up to $10,000

Paid Time Off and Sick Leave

Paid Parental & Family Caregiver Leave

Emergency Backup Care

Long-Term, Short-Term Disability, and Critical Illness plans

Life Insurance

401k/403B with Employer Match

Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education

Student Debt Pay Down - $10,000

Reimbursement for certifications and free access to complete CEUs and professional development

Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.

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.

Job Tags

Full time, Temporary work, Remote job, Shift work,

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