Manager, Integrated Care Management (RN)

Company: Sentara Healthcare
Location: Norfolk
Posted on: February 16, 2021

Job Description:

Manager, Integrated Care Management-RNCan be based in either Norfolk, VA or Richmond, VA
Sentara Health Plan is currently hiring for a Manager of Integrated Care Management (RN) for our Clinical Services Department.
Utilization management experience with special interest in Medicare and Medicaid is preferred.
Responsible for managing and coordinating the patient care transition 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. Serve as a 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.Other job duties include:* 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.
Required Education : RN-Bachelor's Level DegreeExperience : Required: Case Management - 3 years, Leadership - 1 yearLicenses and Certifications : Required: Registered Nurse (RN)
Preferred: Basic Life Support, Certified Case Manager
Master's degree preferred. 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. BLS (if in a clinical setting).
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Keywords: Sentara Healthcare, Norfolk , Manager, Integrated Care Management (RN), Executive , Norfolk, Virginia