City/State

Work Shift

Overview:

Sentara Health Plans is hiring for a Manager, Integrated Care Management- Nursing Facility/ HCBS / LTSS Waiver - Remote!

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

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

Location: Remote opportunities available in the following states: Virginia, North Carolina, 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 (state), West Virginia, Wisconsin, Wyoming. With occasional onsite meetings in Virginia Beach or Richmond, VA

Overview

• Lead and develop a team of Care Managers supporting members in Nursing Facilities and Skilled Nursing Facilities.

• Supervise 2 direct reports and provide oversight to 23 indirect team members.

• Drive process improvement initiatives to enhance team performance and operational efficiency.

• Monitor quality outcomes and support closure of member care gaps.

• Prepare and present operational updates, metrics, and deliverables to leadership.

• Collaborate with providers, facility staff, and internal teams to improve member outcomes.

Education

• Bachelor’s Degree REQUIRED

Certification/Licensure

• One of the following is REQUIRED:

  • Registered Nurse License (RN) - Nursing License - Compact/Multi-State License or

  • Licensed Clinical Social Worker (LCSW) - State license - North Carolina Social Work Certification and Licensure Board (NCSWCLB) or

  • Licensed Clinical Mental Health Counselor (LCMHC) - State License - North Carolina Board of Licensed Clinical Mental Health Counselors (NCBLCMHC) or

  • Licensed Professional Counselor (LPC) - State license - Virginia Department of Health Professionals (VADHP) or

  • Licensed Professional Counselor (LPC) - State license - North Carolina Board of Licensed Clinical Mental Health Counselors (NCBLCMHC)

Experience

• 3 years of case management experience REQUIRED

• 1 year of leadership experience REQUIRED

• With extensive Nursing Facility or Long Term Care Experience preferred

• Has knowledge of Long-Term Services and Supports (LTSS) / Home and Community-Based Services (HCBS) or Medicaid requirements

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.

Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.

We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $48.79 - $81.31.  Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities."

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-103926

#Indeed

Talroo - Health Plan

Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, Nursing, Managed Care, MCO, Health Plan, Virginia, Remote, Licensed Clinical Social Worker (LCSW) - State license - Virginia Department of Health Professionals (VADHP), Licensed Professional Counselor (LPC) - State license - Virginia Department of Health Professionals (VADHP), Registered Nurse (RN) License (Compact or Virginia), Long-Term Services and Supports, LTSS, Home and Community-Based Services (HCBS), Nursing Facility

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.