Integrated Case Manager/Registered Nurse (RN) for Chronic/Complex Cases in Alexandria/Woodbridge, Virginia/NOVA
Company: Sentara Health
Location: Alexandria
Posted on: January 5, 2026
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Job Description:
City/State Alexandria, VA Work Shift First (Days) Overview:
Sentara Health Plansis hiring an Integrated Nurse Case Manager in
Alexandria/Woodbridge and the surrounding areas ! This is a
full-time, work-from-homeposition that requires travel to conduct
face-to-face home visits for chronic/c omplex condition members
(asthma, diabetes, heart failure, cancer, heart disease, COPD) in
Alexandria/Woodbridge and the surrounding areas! Status:
Full-time,permanent position (40 hours) Standard working hours: 8am
to 5pm EST, M-F Location: Applicants must be reside in
Alexandria/Woodbridge and the surrounding areas! Primary
responsibilities include: - 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.
Ensures compliance with regulatory, accrediting and company
policies and procedures - May assist in problem solving with
provider, claims or service issues. Education: - Associate or
Bachelors Degree in Nursing REQUIRED Certification/Licensure: -
Registered Nurse (RN) License (Compact or Virginia) REQUIRED
Experience: - 3 years experience in Nursing REQUIRED - Case
Management experience preferred - Managed Care or Health Plan
experience preferred - Experience working with chronic/complex
condition members ( Asthma, diabetes, heart failure, cancer, heart
disease, COPD) , home health experience, inpatient case management
experience, hospice experience preferred - Strong knowledge of
physical, psychological, socio-cultural, and cognitive patient
needs. - Excellent communication skills, both oral and written, as
well as strong problem-solving and analytical Sentara Health Plans
provides health plan coverage to close to one million members in
Virginia. We offer a full suite of commercial products including
employee-owned and employer-sponsored plans, as well as Individual
& Family Health Plans, Employee Assistance Programs and plans
serving Medicare and Medicaid enrollees. Our quality provider
network features a robust provider network, including specialists,
primary care physicians and hospitals. We offer programs to support
members with chronic illnesses, customized wellness programs, and
integrated clinical and behavioral health services-all to help our
members improve their health. Our success is supported by a
family-friendly culture that encourages community involvement and
creates unlimited opportunities for development and growth. Be a
part of an excellent healthcare organization that cares about our
People, Quality, Patient Safety, Service, and Integrity. Join a
team that has a mission to improve health every day and a vision to
be the healthcare choice of the communities that we serve! To
apply, please go to www.sentaracareers.com and use the following as
your Keyword Search: JR-89464 Indeed Talroo - Nursing Care
Coordination, Case Management, RN, Case Manager, Registered Nurse,
BSN, ADN, Nursing, Managed Care, MCO, Health Plan , Virginia Beach,
Portsmouth, Chesapeake, Suffolk, asthma, diabetes, heart failure,
cancer, heart disease, COPD, home health experience, inpatient case
management, hospice, Alexandria, Woodbridge, complex, chronic
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 ifestablished 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.
Keywords: Sentara Health, Alexandria , Integrated Case Manager/Registered Nurse (RN) for Chronic/Complex Cases in Alexandria/Woodbridge, Virginia/NOVA, Healthcare , Alexandria, Virginia
