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Sentara Health

Integrated Case Manager

Sentara Health

. Provide case management services within the scope of licensure .

Posted 10/22/2026full-timeRoanoke • Virginia • United StatesMid-LevelSenior💰 $89,544 - $136,469 per yearWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in case management services, including developing and monitoring care plans, conducting clinical assessments, and coordinating care for members with chronic illnesses. Proficient in ensuring compliance with regulatory standards and facilitating effective communication among healthcare teams.

Highest-signal resume keywords
Registered Nurse CertificationCase Management ServicesClinical AssessmentsManaged Care ExperienceDischarge Planning Experience

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Care Plan DevelopmentChronic Illness ManagementGap-In-Care ManagementTelephonic AssessmentsInter-Disciplinary Team Coordination
Soft Skills
Oral Communication SkillsWritten Communication SkillsInterpersonal Communication SkillsProblem-Solving SkillsFacilitation Skills
Certifications & Qualifications
Registered Nurse Certification
Industry Keywords
Managed CareRegulatory ComplianceHealthcare TeamsAuthorizationsReferral Management

About the role

Key responsibilities & impact
  • Provide case management services within the scope of licensure
  • Develop, monitor, evaluate, and revise member care plans
  • Perform telephonic clinical assessments to identify, evaluate, coordinate, and manage member needs
  • Address physical and behavioral health, social services, and long-term services needs
  • Identify members at risk for complications and coordinate care with members and healthcare teams
  • Manage chronic illnesses, co-morbidities, and disabilities
  • Ensure cost-effective and efficient utilization of health benefits
  • Conduct gap-in-care management for quality programs
  • Facilitate authorizations and referrals within the benefits structure or permissible extra-contractual arrangements
  • Interface with Medical Directors, Physician Advisors, and Inter-Disciplinary Teams on treatment plans
  • Present cases at multidisciplinary case conferences
  • Ensure compliance with regulatory, accrediting, and company policies and procedures
  • Assist with provider, claims, or service issue resolution
  • Perform in-person face-to-face assessments

Requirements

What you’ll need
  • Associates degree required
  • Registered Nurse certification required
  • 3 years of nursing experience required
  • Candidates must be able to travel to Roanoke and northern areas, with travel required up to 60–90 minutes to see members approximately 50–75% a week
  • Strong oral, written, and interpersonal communication skills
  • Problem-solving skills
  • Facilitation skills
  • Analytical skills
  • Managed care experience preferred
  • Discharge planning experience preferred

Benefits

Comp & perks
  • 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
  • Annual discretionary bonus if established system and employee eligibility criteria is met
  • Paid military leave
  • Voluntary benefits