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Remote Rn Discharge Planning Jobs in Virginia (NOW HIRING)

Sentara Healthcare

Integrated Case Manager- RN

Fredericksburg, VA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Discharge planning experience preferred Keywords: Talroo- Health, Case Management, Managed Care ... For positions that are available as remote work, Sentara Health employs associates in the following ...

Sentara Healthcare

Integrated Case Manager- RN

Winchester, VA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Day (8am-5pm) ThisPosition is remote but does require in person face-to-face assessments ... Discharge planning experience preferred Keywords: Talroo- Health, Case Management, Managed Care ...

Sentara Healthcare

Nurse Case Manager-NOVA, VA

Manassas, VA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Registered Nurse License (RN) - Nursing License - Compact/Multi-State License required. Experience ... Discharge planning experience preferred * Managed Care experience preferred * Preferred: Private ...

Prestige

LPN Case Manager

Richmond, VA · Remote

$75K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Facilitate timely and safe discharge planning * Serve as primary point of contact for residents and ... This is a Remote Position. * Competitive Salary * Medical, Dental, and Vision Insurance * 401K ...

Sentara Healthcare

Virtual Wound Care RN -WOCN

Virginia Beach, VA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position is NOT Remote and is located at the Sentara Independence office in Virginia Beach, VA ... discharge, RN, registered nurse, virtual care, acute care, BSN, ASN, BLS, NIH, stroke assessment ...

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Remote Rn Discharge Planning information

What is a Remote RN Discharge Planning nurse?

A Remote RN Discharge Planner is a registered nurse who helps coordinate and manage patient discharges from hospitals or healthcare facilities, working remotely rather than onsite. Their responsibilities include assessing patient needs, developing discharge plans, collaborating with healthcare teams, arranging follow-up care, and ensuring a smooth transition from hospital to home or another care setting. By working remotely, these professionals use phone, email, and electronic health records to communicate with patients and care providers, aiming to improve patient outcomes and reduce readmissions.

What are the key skills and qualifications needed to thrive as a Remote RN Discharge Planning nurse?

To thrive as a Remote RN Discharge Planning nurse, you need a solid nursing background with RN licensure, strong clinical assessment skills, and experience in discharge planning or care coordination. Familiarity with case management software, electronic health records (EHRs), and telehealth platforms is typically required. Excellent communication, problem-solving, and organizational skills are crucial for collaborating with patients, families, and interdisciplinary teams remotely. These capabilities ensure safe, effective transitions of care and help reduce readmissions while maintaining high-quality patient outcomes.

What are some common challenges faced by Remote RN Discharge Planning nurses, and how can they be addressed?

Remote RN Discharge Planners often encounter challenges such as coordinating care across multiple providers and ensuring patients understand their post-discharge instructions without in-person contact. Effective communication and strong organizational skills are essential for overcoming these barriers. Leveraging electronic health records, regular virtual meetings, and clear documentation can help bridge gaps and ensure smooth transitions for patients. Building strong relationships with interdisciplinary team members also facilitates better collaboration and outcomes.

What is the difference between Remote Rn Discharge Planning vs Remote Rn Case Management?

AspectRemote Rn Discharge PlanningRemote Rn Case Management
CertificationsRN license, discharge planning certificationsRN license, case management certifications (e.g., CCM)
Work EnvironmentHospitals, rehab centers, home health agenciesInsurance companies, healthcare organizations, community agencies
Job FocusCoordinating patient discharge and post-hospital careManaging ongoing patient care plans and resource coordination
Common Search IntentDischarge planning roles, patient transitionCare coordination, patient management

Remote Rn Discharge Planning and Remote Rn Case Management both require RN licensure and healthcare experience. Discharge planning focuses on coordinating patient transitions from hospital to home, while case management involves ongoing patient care and resource management. Although related, they serve different aspects of patient care and are often sought by healthcare professionals looking to specialize in either discharge processes or comprehensive care coordination.

What are popular job titles related to Remote Rn Discharge Planning jobs in Virginia?

For Remote Rn Discharge Planning jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Remote Rn Discharge Planning jobs in Virginia look for?

The top searched job categories for Remote Rn Discharge Planning jobs in Virginia are:

What cities in Virginia are hiring for Remote Rn Discharge Planning jobs?

Cities in Virginia with the most Remote Rn Discharge Planning job openings:

Remote Rn Discharge Planning jobs near you

Utilization Review Nurse / RN for Medicaid - Remote

Sentara Health

Norfolk, VA • Remote

$66K - $111K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New

Sentara Health rating

6.7

Company rating: 6.7 out of 10

Based on 412 frontline employees who took The Breakroom Quiz

531st of 888 rated healthcare providers

Job description

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Sentara Health Plansis hiring an Utilization Review Nurse/ RN for Medicaid - Remote!
Status: Full-time,permanent position (40 hours)

Standard working hours: 8am to 5pm EST, M-F. Weekend and holiday coverage required. Nurses participate in a self-scheduling process and are expected to work 13 weekend day shifts per year, as well as assigned holiday coverage.
Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington (state), West Virginia, Wisconsin, Wyoming
Job responsibilities:
  • Utilization Review Nurse is responsible for utilizing management services within the scope of licensure. Conducts primary functions of prior authorization, inpatient review, concurrent review, retrospective review, medical director referrals and execution of member/provider approval and/or denial letter. Reviews provider requests for services requiring authorization. Conduct pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. May manage appeals for services denied. Responsible for written and/or verbal notification to members and providers. Demonstrates proactive anticipatory discharge planning; serves as joint transition of care coordinator with case management and facilitates member care transition. Ensures medical director's written decision is consistent with criteria (CMS, state, medical policy, clinical criteria). Facilitates accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards.

Education:
  • Bachelors Degree in Nursing preferred

Certification/Licensure
  • Registered Nurse (RN) License (Compact or Virginia) REQUIRED

Preferred qualifications:
  • 3 years of acute care clinical experience REQUIRED
  • Previous Utilization Review highly preferred
  • Previous LTSS Waiver OR Medicaid experience highly preferred
  • InterQual or Milliman experience preferred.
  • Knowledge of NCQA preferred.
  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
  • Strong Microsoft skills (Word, Excel, Outlook and Teams).

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.
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $66,830.4 - $111,384. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities
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-104382
Talroo - Nursing
Utilization, Review, Registered Nurse, BSN, ADN, Nursing, Managed Care, MCO, Health Plan, Virginia, RN, VA, Medicaid, Inpatient, irginia, North Carolina, 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 (state), West Virginia, Wisconsin, Wyoming
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
•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.

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