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Manager, Care Management Private Duty Nursing

Sentara
Virginia, VA Full Time
POSTED ON 4/12/2025
AVAILABLE BEFORE 6/10/2025

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

Salary : $1,000 - $1,000,000

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