RN Manager, Integrated Care Management

reputed company/State Virginia Beach, VA Work Shift First (Days) reputed company: reputed company Plan is hiring an RN Manager for the Government Programs Case Management Department. This role will reputed company 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. 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 reputed company. Participates in the system development and implementation of integration of care transitions along the continuum of care. Works in reputed company collaboration with the multidisciplinary team, in reputed company settings to include ambulatory, post - acute providers and health plans. Serves as mentor by role modeling a reputed company reputed company 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. Education • BSN Required • Master's degree preferred Certification/Licensure • reputed company RN license • For Integrated Care Management departments, specialty certification required reputed company one year of eligibility (ACM, CCM, CCCTM, CMAC or RN-BC). For other service lines, certification based on specialty area required reputed company 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 Keywords: Talroo-Health Plan, Talroo-Nursing, reputed company, Monster, reputed company, elderly disabled consumer direction waiver, PHM NCQA standards, DMAS, reputed company, RN, BSN, Registered reputed company, Home Care, reputed company, data analysis, accounts receivable, reputed company, JIVA, case management, care coordination, EDCD, long term services and support, EPSDT, LTSS, commonwealth coordinated care plus Benefits: Caring For Your Family and Your Career • Medical, Dental, reputed company plans • Adoption, Fertility and Surrogacy Reimbursement up to 10,000 • reputed company Time Off and reputed company Leave • reputed company 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 reputed company Education • Student Debt Pay Down - 10,000 • Reimbursement for certifications and free reputed company to complete CEUs and reputed company development • Pet Insurance • reputed company Resources Plan • Colleagues have reputed company to earn an annual discretionary bonus if established system and employee eligibility reputed company is met. reputed company is an equal opportunity employer and prides itself on the diversity and inclusiveness of its reputed company to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding reputed company 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, reputed company employs associates in the following states: Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, reputed company Virginia, reputed company, and Wyoming. Apply tot his job