Sentara Health

RN Manager, Integrated Care Management

Posted on

July 28, 2025

Job Type

Full-Time

Role Type

Leadership / Management

License

RN

State License

Virginia

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Company Description

Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 130 years in pursuit of its mission - "we improve health every day." Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 30,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, and the Sentara Health Plans division which serves more than 1.2 million members in Virginia and Florida. Sentara is recognized nationally for clinical quality and safety, and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018), and was recognized by Forbes as a "Best Employer for New Grads" (2022), "Best Employer for Veterans" (2022), and "Best Employer for Women" (2020).

Job Description

Sentara Health Plan is hiring an RN Manager for the Government Programs Case Management Department. This role will oversee the Private Duty Nursing (PDN)/Vent and High-Risk Pediatrics team. This is a Full-time, Remote, 40 hours per week Day shift position Mon-Fri between the hours of 8:00am-5:00pm.

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 and High-Risk Pediatric experience preferred Experience with DMAS, EPSDT, NCQA standards, LTSS, and CCC Plus preferred

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Responsibilities

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.

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