Nurse Case Manager
Sentara Health
City/State
Richmond, VA Work Shift
Multiple shifts available Overview: Overview: Sentara Health Plans is currently hiring an Integrated Nurse Case Manager in the Central- Midlothian 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 around the central region Primary responsibilities include:
•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.
Richmond, VA Work Shift
Multiple shifts available Overview: Overview: Sentara Health Plans is currently hiring an Integrated Nurse Case Manager in the Central- Midlothian 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 around the central region 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
- Associates or Bachelors Degree in Nursing (Required)
- Virginia or Compact RN License (Required)
- 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)
•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.
Vacancy posted 1 hour ago
Similar jobs that could be interesting for youBased on the Nurse Case Manager in Richmond, VA vacancy
- ...Anticipated End Date: 2026-06-30 Position Title: Nurse Case Manager I Job Description: Nurse Case Manager I Location: Any Elevance Health PulsePoint office in Viriginia. Richmond, VA is preferred. Virtual : This role enables associates to...SuggestedFull timeTemporary workWork at officeLocal areaDay shift1 day per week
Elevance Health
Richmond, VA3 days ago - ...area. Provide comprehensive healthcare management services to facilitate appropriate... ...claims to address potential impact on current case management and eligibility. Assessments... ...preferred Position Summary Nurse Case Manager is responsible for...SuggestedTemporary work
Varite
Richmond, VA4 days ago $75.68k - $119.2k
...Telephonic Nurse Case Manager II Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration...SuggestedFull timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayAfternoon shift1 day per weekElevance Health
Richmond, VA4 days ago- ...Overview Sentara Health Plans is currently hiring an Integrated Nurse Case Manager in the Central- Midlothian 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...SuggestedFull timeCurrently hiringRemote workShift work
Sentara Healthcare
Richmond, VA16 hours ago - ...RN license in the state of Virginia or compact license. The Case Manager utilizes a collaborative process of assessment, planning,... ...promote optimal, cost-effective outcomes. Active Registered Nurse (RN) required; must hold a current, unrestricted Virginia nursing...SuggestedWork at office
Integrated Resources
Richmond, VA2 days ago $40 - $45 per hour
...Registered Nurse (RN) | Case Manager Location: Richmond, VA Agency: Conflux Systems Inc Pay: $40 to $45 per hour Shift Information: Days - 5 days x 8 hours Contract Duration: 3 Months Start Date: ASAP About the Position TravelNurseSource...Hourly payFull timeContract workImmediate startHome officeMonday to FridayShift workTravelNurseSource
Richmond, VA20 days ago$44.14 - $48 per hour
...referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit... ...interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while...Permanent employmentFull timeApprenticeshipWork at officeLocal areaLanceSoft
Richmond, VA6 days ago- ...Do you have the career opportunities as a Registered Nurse RN Case Manager you want with your current employer? We have an exciting opportunity for you to join Chippenham Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare....Temporary workFlexible hours
Mission Hospital
Richmond, VA2 days ago - ...Ponos is seeking a Travel Infusion Registered Nurse for our Virginia programing to be a critical role in delivering specialized intravenous... ...infusion therapies while monitoring patient responses and managing potential complications. Strong clinical assessment skills are...Local area
Ponos Care
Richmond, VA16 hours ago $79.46k - $119.2k
...Elevance Health is seeking a Telephonic Nurse Case Manager II who will work virtually while managing care for members with complex and chronic needs. This role involves conducting assessments and developing care plans to optimize member health. Ideal candidates should...Remote workElevance Health
Richmond, VA1 day ago- ...Gallagher Bassett Medical Management Coordinator At Gallagher Bassett, we're there when it... ...compensation injured employees, performing case management through telephonic and in-... ...quality compliance. About You Required Nursing or medical degree from an accredited...Work experience placementLive outWork at officeLocal areaFlexible hours
Arthur J. Gallagher & Co.
Richmond, VA4 days ago $49 - $69 per hour
...Become a part of our caring community As a CenterWell Home Health nurse, reporting to the Clinical Manager, you will provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Working with a dedicated team of physicians...Full timeTemporary workApprenticeshipWork from homeHumana
Richmond, VA1 day ago$49 - $69 per hour
...Join Our Caring Community As a CenterWell Home Health nurse, reporting to the Clinical Manager, you will provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Working with a dedicated team of physicians and clinicians...CenterWell Senior Primary Care
Richmond, VA4 days ago$5,000 per month
...Schedule: Full Time Monday-Friday 8AM-5PM Are you a Registered Nurse looking for a new opportunity? AT Home Care Hospice is seeking... ...advancement opportunities with a growing company As a RN Case Manager You will: Assess/monitor physical, emotional, and psychological...Full timeWork at officeLocal areaMonday to FridayFlexible hoursBrightSpring Health Services
Mechanicsville, VA2 days ago$54.1k - $155.54k
...American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/... ...in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization... ...~5+ years' experience as a Registered Nurse with at least 1 year of experience in a...Hourly payFull timeLocal areaRemote workWork from homeFlexible hoursCVS Health
Richmond, VA5 days ago- ...We are seeking a compassionate and experienced Registered Nurse – Integrated Care Manager (ICM) for a temporary assignment (approximately 3 months,... ...(or multistate compact license) Experience Experience in case management, care coordination, or utilization/care review...Temporary work
Sentara Healthcare
Richmond, VA2 days ago - ...weekend pickup of Friday 5pm to Monday 8am as a back up on call nurse once every 6 weeks Are you a Registered Nurse who thrives... ...end-it's a meaningful journey. We're seeking dedicated RN Case Managers who are passionate about walking beside their patients through...Full timeMonday to FridayFlexible hoursWeekend work
Bristol Hospice
Richmond, VA4 days ago - ...Integrated Case Manager, RN Sentara Health in Bristol, VA is looking to hire an Integrated Case Manager, RN. This is a remote position... ...Bachelors preferred Certification: ~ Registered Nurse required Experience: ~3 years of nursing experience...Temporary workRemote work
Sentara Healthcare
Richmond, VA2 days ago - Travel RN Case Manager Job Type: Travel Profession: RN Specialty: Case Manager Shift Details: Shift 08:00 AM - 04:30 PM Job Order Details: Start Date 07/20/2026 End Date 10/19/2026 Duration 13 Week(s) Client Details: State VAShift work
Liquid Agents
Richmond, VA2 days ago $80k - $90k
...Hospice Registered Nurse Case Manager (RNCM) Make a lasting difference as a Hospice Registered Nurse Case Manager (RNCM)! Are you a compassionate Registered Nurse (RN) who finds purpose in supporting patients and families through meaningful moments of care? Legacy...Full timeMonday to FridayLegacy Hospice
Richmond, VA1 day ago- ...Case Manager II The Case Manager II is responsible for maintaining a caseload of patients, completing all oversight related to patient care by other nurses and coordination with the Director of Nursing to ensure compliance and standards of care are met. We are looking...
Home Health Services of Virginia
Mechanicsville, VA1 day ago $80k - $90k
...Overview Make a Lasting Difference as a Hospice Registered Nurse Case Manager (RNCM)! Are you a compassionate Registered Nurse (RN) who finds purpose in supporting patients and families through meaningful moments of care? Legacy Hospiceis seeking a Full Time Hospice RN...Full timeMonday to FridayLegacy Hospice
Richmond, VA3 days ago- ...Job Description Job Description Hospice RN Case Manager – Hybrid | Richmond, VA Clinical Role | Competitive Pay | Mileage Reimbursement... ...Caseload We are seeking an experienced Hospice Registered Nurse Case Manager (RN) to join a compassionate and mission-driven...Immediate start
- ...Case Manager Richmond, Virginia, United States At Morgan & Morgan, the work we do matters. For millions of Americans, we're their last line of defense against insurance companies, large corporations or defective goods. From attorneys in all 50 states, to client...Full timeWork at officeLocal area
Morgan & Morgan
Richmond, VA2 days ago $48k - $52k
...assistance, such as job applications. • Provides transportation services as required. • Manages records and documentation of services provided and participates in team case conferences. • Acts as a liaison with other staff with referrals and transitioning of clients...Temporary workWork experience placementLocal areaMonday to FridayFlexible hoursCapital Area Health Network
Richmond, VA3 days ago$61.4k - $85k
...Counselor (CRC) or Certified Disability Management Specialist (CDMS) certification. Perks... ...Program, and hands-on workers' compensation case management training. Join our... ...disability. #LI-AC1 Registered Nurse (RN), Nursing, Home Care Registered Nurse...Full timePart timeLocal areaHome officeFlexible hoursGenex Services
Richmond, VA4 days ago- Market leading healthcare organization looking for hybrid RN Case Manager in greater Roanoke, VA area! Great opportunity, call us today! Hybrid role with a blend of working from home and traveling in the field. Candidate must reside in Virginia and will be covering...Temporary workWork experience placementWork from homeMonday to FridayShift work
Randstad
Richmond, VA5 days ago - ...RN Case Manager RN Case Managers are a critical part of the agency and must have experience working in the home health setting. We are... ...following: Must hold a current license as a Registered Nurse from the Virginia State Board of Nursing. Must have experience...Full timeContract workPart timeMonday to FridayWeekend work
Home Health Services of Virginia
Mechanicsville, VA4 days ago $72.7k
...clinical needs. The incumbent assesses health management needs of the assigned member panel and,... ...resources and manages an active case load of members enrolled in case management... ...GED Preferred : Bachelor's Degree in Nursing Experience Required : 7 years of clinical...Temporary workWork at officeLocal areaRemote workHighmark Health
Richmond, VA2 days ago- ...Hybrid Rn Case Manager Market leading healthcare organization looking for hybrid RN Case Manager in greater Roanoke, VA area! Great opportunity! Hybrid role with a blend of working from home and traveling in the field. Candidate must reside in Virginia and will be...Work from home
Randstad
Richmond, VA5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Nurse Case Manager. Be the first to apply!
Related searches
- director of nursing rn Richmond, VA
- director of nursing assisted living Richmond, VA
- nurse practitioner director Richmond, VA
- nurse supervisor Richmond, VA
- clinical research nurse Richmond, VA
- full time nurse practitioner Richmond, VA
- nurse practitioner urology Richmond, VA
- nurse practitioner - telehealth Richmond, VA
- nurse manager long term care Richmond, VA
- nurse director Richmond, VA