Integrated Care Manager/ Registered Nurse (RN) LTSS Waiver Members/Medicaid - Remote in NOVA (Fairfax, Springfield and Alexandria, VA)
Sentara Health Administration, Inc.
Fairfax, Virginia
Case Management · Long-Term Services and Supports (LTSS) · Home Health · Behavioral Health
Posted Jul 23 · Not open to new grads
- Shift
- 8-hour days
- Hours a week
- 40
- Unit
- Psych
What the listing says
Role
- Schedule
- 8-hour days · 5 a week · 40 hours
- Weekends
- No weekends
- Term
- Permanent
- Setting
- Telehealth
- Accepts
- RN
- Experience
- 3+ years
Ratio not posted. Ask in the interview.
Pay
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About this role
Sentara Health Plans is hiring an Integrated Care Manager/ Registered Nurse (RN) LTSS Waiver Members/Medicaid - Remote in NOVA (Fairfax, Springfield and Alexandria, VA) and the surrounding areas. Full-time, permanent position (40 hours). Standard working hours: 8 am to 5 pm EST, M-F. The position requires in person/face-to-face assessments with remote/home office for the Long-Term Services and Supports (LTSS) Waiver Members/Medicaid in Northern Virginia.
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.
Sourced from a public job board.
“Certification/Licensure: Registered Nurse (RN) License (Compact or Virginia) REQUIRED Experience: 3 years experience in Nursing REQUIRED Managed Care/ Health Plan/ Health Insurance experience highly preferred Case Manag…” · from this posting
Requirements
- RN
- Compact RN
- Registered Nurse (RN) License (Compact or Virginia) REQUIRED
- 3 years experience in Nursing REQUIRED
- Managed Care/ Health Plan/ Health Insurance experience highly preferred
- Case Management experience preferred
- Long-Term Services and Supports (LTSS) waiver and Home Health experience preferred
- Behavioral Health experience is secondary
- Bachelor's Level Degree in Nursing preferred
- BLS Certification
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- Disability insurance
- 401(k) matching
- 403(b) matching
- Paid time off
Place
- City
- Fairfax, Virginia
- Median rent
- $2,245/mo
- Local household income
- $132,348/yr
- State price level
- 1% above the national average
rent and tenant-paid utilities · Census ACS 2024
all local households, not nurse pay · Census ACS 2024
Virginia index 101.1, where 100 is the national average.
Fairfax blends suburban comfort with rich Colonial-era history just outside Washington, D.C. Tree-lined streets, highly rated schools, and nearby George Mason University give this Northern Virginia city an educated, family-friendly feel. Excellent hospitals and major healthcare systems make it a smart pick for nurses seeking career growth with easy access to the nation's capital.
Cost figures from U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024.
How this role fits you
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About the employer
You are looking at Sentara Health Administration, Inc. work tied to Sentara Health Plans—care coordination and quality roles out of the Fairfax / Northern Virginia area, not a traditional bedside unit. On the Integrated Care Manager RN path for LTSS…
On your path
Psychiatric is open from year one. Behavioral health spans inpatient, emergency, and community settings.
Worth asking
We can’t answer these from the listing we have. Good ones to ask a recruiter or in the interview.
- Can you walk me through base pay range and differentials?
- What should I expect for holiday, call, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
