Integrated Case Manager- RN
Winchester, VA · On-site +1
Day (8am-5pm) ThisPosition is remote but does require in person face-to-face assessments ... Registered Nurse required Experience: * 3 years of nursing experience required * Managed care ...
Integrated Case Manager- RN
Winchester, VA · On-site +1
Day (8am-5pm) ThisPosition is remote but does require in person face-to-face assessments ... Registered Nurse required Experience: * 3 years of nursing experience required * Managed care ...
Remote Rn Mha information
What is a remote RN MHA?
A Remote RN MHA is a Registered Nurse (RN) who holds a Master of Health Administration (MHA) degree and works remotely, often in administrative, case management, or telehealth roles. These professionals combine clinical nursing expertise with advanced knowledge of healthcare management and policy, allowing them to oversee operations, manage teams, or coordinate patient care from a distance. Remote RN MHAs may work for hospitals, insurance companies, telemedicine providers, or healthcare consulting firms. This role typically requires strong communication, leadership, and technical skills to effectively manage healthcare services outside of traditional clinical settings.
What are the key skills and qualifications needed to thrive as a remote RN MHA, and why are they important?
To thrive as a Remote RN MHA, you need a solid foundation in clinical nursing, healthcare administration, and leadership, typically supported by an active RN license and a Master of Healthcare Administration degree. Familiarity with telehealth platforms, EHR systems, and healthcare compliance tools is essential. Strong communication, critical thinking, and self-motivation help you manage patient care and administrative responsibilities remotely. These skills ensure effective leadership, quality patient outcomes, and organizational success in virtual healthcare environments.
What are some common challenges faced by remote RN MHA professionals, and how can they be managed effectively?
Remote RN MHA (Registered Nurses with a Master of Health Administration) professionals often encounter challenges such as maintaining effective communication with multidisciplinary teams, ensuring patient privacy during virtual consultations, and managing time efficiently while handling multiple administrative and clinical tasks remotely. To address these, leveraging secure telehealth platforms, setting clear schedules, and participating in regular team meetings can help maintain workflow and collaboration. Additionally, staying current with telehealth best practices and ongoing professional development can enhance both clinical and administrative effectiveness in a remote setting.
What is the difference between Remote Rn Mha vs Remote Rn Case Manager?
| Aspect | Remote Rn Mha | Remote Rn Case Manager |
|---|---|---|
| Credentials | Registered Nurse (RN), Mental Health Associate (MHA) certification or experience | Registered Nurse (RN), Case Management certification or experience |
| Work Environment | Telehealth, mental health facilities, hospitals | Telehealth, insurance companies, healthcare organizations |
| Employer & Industry | Hospitals, mental health clinics, telehealth providers | Insurance companies, healthcare agencies, managed care organizations |
The Remote Rn Mha focuses on mental health assessments and support, often working in telehealth settings to provide mental health services. In contrast, the Remote Rn Case Manager manages patient care plans, coordinates services, and works with insurance providers. Both roles require RN licensure, but their primary responsibilities and work environments differ, catering to distinct aspects of patient care and case management.
What are popular job titles related to Remote Rn Mha jobs in Winchester, VA?
For Remote Rn Mha jobs in Winchester, VA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Mha jobs in Winchester, VA look for?
The top searched job categories for Remote Rn Mha jobs in Winchester, VA are:
What cities near Winchester, VA are hiring for Remote Rn Mha jobs?
Cities near Winchester, VA with the most Remote Rn Mha job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 15 days ago
Sentara Health rating
6.7
Based on 412 frontline employees who took The Breakroom Quiz
530th of 891 rated healthcare providers
Job description
City/State
Winchester, VA
Work Shift
First (Days)
Overview:
Sentara Health is looking to hire an Integrated Case Manager, RN.
Status: Full Time (40 hrs/wk)
Shift: Day (8am-5pm)
ThisPosition is remote but does require in person face-to-face assessments . Candidates must be able to travel to Winchester, Leesburg, Alexandria, Arlington, Manassas, Warrenton, Front Royal, Harrisonburg ,VA
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 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:
Certification:
Experience:
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.
Winchester, VA
Work Shift
First (Days)
Overview:
Sentara Health is looking to hire an Integrated Case Manager, RN.
Status: Full Time (40 hrs/wk)
Shift: Day (8am-5pm)
ThisPosition is remote but does require in person face-to-face assessments . Candidates must be able to travel to Winchester, Leesburg, Alexandria, Arlington, Manassas, Warrenton, Front Royal, Harrisonburg ,VA
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 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.
What Sentara Health employees say
Pay
Benefits
Hours and flexibility
Workplace
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About Sentara Health
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Norfolk, VA, US
Year founded
1888