Manager, Care Management Private Duty Nursing

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Bachelor of Science in Nursing (BSN) required, Master's degree preferred., Active RN license is mandatory, with specialty certification required within one year for Integrated Care Management., Minimum of one year of leadership experience and three years of RN care management experience required., Experience in private duty nursing and familiarity with DMAS, LTSS, and CCC Plus preferred..

Key responsabilities:

  • Manage and coordinate the patient care transitions program to ensure effective progression through the care continuum.
  • Collaborate closely with a multidisciplinary team across various settings including ambulatory and post-acute providers.
  • Mentor staff by modeling professional practices aligned with organizational goals and standards of care.
  • Develop and manage the departmental budget while ensuring compliance with federal, state, and regulatory requirements.

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Sentara Healthcare XLarge https://www.sentara.com/
10001 Employees
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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

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$87,443.20-$145,745.60. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

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 if established 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.

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Leadership
  • Teamwork
  • Communication
  • Problem Solving

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