Top 12 Utilization management nurse Jobs in Staunton, Va

106444 - Integrated Case Manager - Registered Nurse
Managed Care Services, Inc. —Harrisonburg, VA
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- 403(b) matching
- Paid parental leave
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Inpatient Case Manager, RN
Sentara RMH Medical Center —Harrisonburg, VA
- Full-time
- Nursing
- RN License
- Inpatient
- Free parking
- 403(b) matching
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ACT Nurse
Harrisonburg-Rockingham Community Services Board —Harrisonburg, VA
- $45,000 - $55,000 a year
- Weekends as needed
- CPR Certification
- Nursing
- Clean driving record
ACT Nurse
HARRISONBURG ROCKINGHAM CSB —Harrisonburg, VA
- $45,000 - $55,000 a year
- Weekends as needed
- CPR Certification
- Nursing
- Clean driving record
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11d
Mobile Nurse Practitioner — Part Time
Avail Health —Harrisonburg, VA
- $75 - $85 an hour
- Contract
- Nursing
- Skilled nursing facility
- Medication administration
- Mileage reimbursement
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Registered Nurse (RN) - Utilitization Management
University of Virginia —Charlottesville, VA
Highly autonomous role requiring independent decision-making. Evaluate whether patients are placed in the correct admission status and timeframe.
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Care Coordinator/ Licensed Practical Nurse (LPN)for LTSS Waiver/ Home Health in Culpeper, Fauquier, Madison, Orange, Rappahannock, VA
Sentara Health Administration, Inc. —Madison, VA
LPN license in VA or Compact/Multistate preferred. Performs related field work and community engagement travel as needed to increase EPSDT awareness and…
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10d

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RN, LSW, LISW, Care Manager - Columbus
Careforth —Columbus, OH
Ability and flexibility to travel (usually by car) within assigned geographic area; valid driver’s license and car insurance required.
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Registered Nurse $10,000 Sign-on Bonus
Optum —Columbus, OH
Current and unrestricted RN licensure in state of practice. Supervises care provided by home health aides and licensed practical/vocational nurses, provides…
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utilization management nurse jobs near staunton, va

106444 - Integrated Case Manager - Registered Nurse

Managed Care Services, Inc.
Harrisonburg, VA

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Job Details

Full-time

Benefits

403(b) matching
Paid parental leave
Caregiver leave
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Parental leave
Vision insurance
401(k) matching
403(b)
Life insurance
Pet insurance

Qualifications

RN License
Medical treatment knowledge
Cross-functional communication

Full Job Description

City/State

Harrisonburg, VA

Work Shift

First (Days)

Overview:

Sentara Health in Harrisonburg, VA is looking to hire an Integrated Case Manager, RN.

This is a remote position; however, candidates must reside in Harrisonburg and surrounding areas as travel is required.

The Integrated Case Manager is 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. Ensure compliance with regulatory, accrediting and company policies and procedures. May assist in problem solving with provider, claims or service issues.

Demonstrates the minimum knowledge, skills and abilities to care for the individualized needs of the patient to include physical, psychological, socio-cultural, spiritual and cognitive needs as well as functional abilities including the need for diversified use of such practices. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills

Education:

Associates
Bachelors preferred

Certification:

Registered Nurse required

Experience:

3 years of nursing experience required
Managed care preferred
Discharge planning experience preferred

Keywords: Talroo- Health, Case Management, Managed Care, Discharge Planning

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.

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utilization management nurse jobs in staunton, va

106444 - Integrated Case Manager - Registered Nurse

Inpatient Case Manager, RN

ACT Nurse

ACT Nurse

Mobile Nurse Practitioner — Part Time

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