Director, Case Management (Remote)

City / State

Newport News, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Healthcare is seeking to hire a qualified individual to join our team as a Director Case Management

Position Status : Full-time, Day Shift

Position Location : This position is remote within our 27 remote states.

Standard Working Hours : 8 : 00AM to 5 : 00PM (ET).

Minimum Requirements :

• Master's degree required.
• 5 years of healthcare experience required.
• 5 years of Managed Care experience required .
• Medicaid case management experience required .

Expectations for this Role :

The Director of Case Management develops, implements, and oversees policies and cost-effective strategies that enhance the quality and satisfaction of member care, and improve health care outcomes.

Provides clinical and operational oversight to staff that are responsible for member assessments, care planning & discharge planning processes to ensure compliance to state and federal regulations, accreditation requirements and best practices.

Oversees staff training, evaluation & performance monitoring. Collaborate to develop and maintain operational and regulatory reporting for care management activities.

Sentara Health Overview

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 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).

Mission, Purpose, and Values

• Mission - We improve health every day.
• Purpose - Sentara exists to be the trusted partner to individuals and the community in their journey to health and well-being.
• Values - People, Quality, Patient Safety, Service, and Integrity.

Sentara Healthcare Commitments

S entara has made a commitment to its colleagues, patients, and members to :

• Always keep you safe.
• Always treat you with dignity, respect, and compassion.
• Always listen and respond to you.
• Always keep you informed and involved.
• Always work together as a team to provide you with quality healthcare.

Sentara Benefits

As the third-largest employer in Virginia, Sentara Healthcare was named by Forbes Magazine as one of America's best large employers.

We offer a variety of amenities to our employees, including, but not limited to :

• Medical, Dental, and Vision Insurance
• Paid Annual Leave, Sick Leave
• Flexible Spending Accounts
• Retirement funds with matching contribution
• Supplemental insurance policies, including legal, Life Insurance and AD&D among others.
• Work Perks program includes discounted movie and theme park tickets among other great deals.
• Opportunities for further advancement within our organization

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within avibrant, creative, and highly productive workplace.

For information about our employee benefits, please visit : Benefits - Sentara (sentaracareers.com)

Join our team!We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth!

Please Note : Yearly Flu Vaccination are required for employment.

indeed, #LI-AB1

For applicants within Washington State, the following hiring range will be applied : $115,402.56 - $145,760.16

Candidates must have residency in one of the following states to work remotely in this position :

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 Summary

The position is accountable for implementing all contractual agreements, compliance with Federal, State and Accreditation Standards for Medical Care Management.

Responsibilities include both strategic planning and support in areas assigned. Supports the Senior Director of Medicaid Case Management in meeting the goals of the departments.

The Director of Case Management works independently and with all functional areas of Clinical Care Services.

Qualifications :

MLD - Master's Level Degree (Required)

Healthcare, Managed Care

Skills

Active Learning, Active Learning, Active Listening, Communication, Complex Problem Solving, Coordination, Critical Thinking, Judgment and Decision Making, Leadership, Learning Strategies, Mathematics, Mgmt of Financial Resources, Mgmt of Material Resources, Mgmt of Staff Resources, Microsoft Excel, Microsoft Word, Monitoring, Persuasion, Project Management, Quality Control Analysis, Reading Comprehension, Science, Service Orientation, Social Perceptiveness, Speaking + 5 more

Sentara Healthcare 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.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.

gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission "to improve health every day," this is a tobacco-free environment.