Nurse Case Manager
Company: Sentara Health
Location: Virginia Beach
Posted on: January 5, 2026
|
|
|
Job Description:
City/State Virginia Beach, VA Work Shift First (Days) Overview:
Sentara Health Plans is currently hiring an Integrated Nurse Case
Manager in the Hampton and Newport News area of Virginia Status:
Full Time (40 hrs/wk) Shift: Day (8am-5pm) *Position is remote but
does require in person face-to-face assessments multiple times
throughout the week. Candidates must be able to travel frequently
throughout the week to complete in person assessments. Location of
assessments include: Peninsula including Hampton, Newport News,
Poquoson, Smithfield, Isle of White, Ivor, Gloucester/surrounding
area, with potential to travel to the Southside Primary
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 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 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 gap in care
management for quality programs - Assists with the implementation
of member care plans by facilitating authorizations/referrals
within benefits structure or extra-contractual arrangements, as
permissible - Interfaces with Medical Directors, Physician Advisors
and/or Inter-Disciplinary Teams on care management treatment plans
- Presents cases at case conferences for multidisciplinary focus.
Ensures compliance with regulatory, accrediting and company
policies and procedures - May assist in problem solving with
provider, claims or service issues Preferred: Private duty nursing
experience and knowledgeable with ventilators in a facility or home
Education - Associates or Bachelors Degree in Nursing (Required)
Certification/Licensure - Virginia or Compact RN License (Required)
Experience - 3 years experience in Nursing (Required) - Experience
in Private Duty Nursing or NICU or Experience working with
Ventilators (Required) - Discharge planning experience (Preferred)
- Managed Care experience (Preferred) Keywords: Care Coordination,
Case Management, Human Services, Community Health, Health
Education, RN Case Manager, Registered Nurse, BSN, ADN, Private
Duty, Ventilator, LinkedIn, Talroo-Nursing 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.
Keywords: Sentara Health, Virginia Beach , Nurse Case Manager, Healthcare , Virginia Beach, Virginia
