Registered Nurse (RN) - Complex Case Manager
Monday - Friday, 8am-5pm
As we are expanding our services and presence in the individual product market, we are seeking a passionate Registered Nurse (RN) with a background in case management to support our community based team in a telephonic, integrated care capacity. This unique team is comprised of clinical professional staff, behavioral health clinicians, and non-clinical staff. We have an integrated care model which encompasses care plans and address our members' medical and behavioral health needs to include programs related to Diabetes, COPD, Asthma and Partners in Pregnancy. Minimum BSN degree required and at least 3 years of RN experience, preferably in case management.
Optima Health offers a full suite of commercial health insurance products including employee-owned and employer-sponsored plans, as well as Individual and Family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services.
As a nationally recognized provider of health plan coverage and innovative wellness programs, we live our mission “to improve health everyday.” This same commitment and dedication directs our philosophy as an employer. When you join Optima Health, you will experience our deep passion for heal and service excellence while benefiting from a culture of opportunity, learning, career growth, and support -every day. Optima Health is a service of Sentara Healthcare, so joining Optima is joining the Sentara Healthcare family.
Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, CLICK HERE!
Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!
Responsible and accountable for the provision and facilitation of comprehensive care coordination services and quality outcomes for patients across the continuum. Promotes effective utilization and monitoring of health services, collaborates and communicates with the healthcare team and patient/caregiver to manage care and transitions. Develops and/or implements a comprehensive care plan based on assessment and evaluation of patient/caregiver needs. Functions in one of the following practice settings: Acute Care, Service Lines, Ambulatory/Community-based, Home Health, and Long Term Care.
RN-Bachelor's Level Degree
Required: Nursing - 3 years
Required: Registered Nurse
Preferred: Basic Life Support
Required: Communication, Critical Thinking, Service Orientation
BLS (if in a clinical setting). (ACM, CCM, CCCTM or RN-BC). For other service lines, certification based on specialty area required within one year of eligibility. 3 years Case Management experience preferred.
Keyword: Registered Nurse, RN, case management, care coordinator, community, complex