Manager, Integrated Care Management- Nursing Facility/ HCBS / LTSS Waiver - Remote!

About the role

Sentara Health Plans is hiring for a Manager, Integrated Care Management focused on Nursing Facility, Home and Community-Based Services (HCBS), and Long-Term Services and Supports (LTSS) Waiver programs. This is a full-time, permanent remote position (40 hours per week) with standard working hours from 8am to 5pm EST, Monday through Friday. Occasional onsite meetings may be required in Virginia Beach or Richmond, VA.

Remote opportunities are available in the following states: Virginia, 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, West Virginia, Wisconsin, and Wyoming.

Responsibilities

• Lead and develop a team of Care Managers supporting members in Nursing Facilities and Skilled Nursing Facilities.
• Supervise 2 direct reports and provide oversight to 23 indirect team members.
• Drive process improvement initiatives to enhance team performance and operational efficiency.
• Monitor quality outcomes and support closure of member care gaps.
• Prepare and present operational updates, metrics, and deliverables to leadership.
• Collaborate with providers, facility staff, and internal teams to improve member outcomes.

Requirements

• Bachelor’s Degree (REQUIRED).
• One of the following certifications/licensures (REQUIRED):
  • Registered Nurse License (RN) – Compact/Multi-State License.
  • Licensed Clinical Social Worker (LCSW) – State license (North Carolina Social Work Certification and Licensure Board or Virginia Department of Health Professionals).
  • Licensed Clinical Mental Health Counselor (LCMHC) – State License (North Carolina Board of Licensed Clinical Mental Health Counselors).
  • Licensed Professional Counselor (LPC) – State license (Virginia Department of Health Professionals or North Carolina Board of Licensed Clinical Mental Health Counselors).
• 3 years of case management experience (REQUIRED).
• 1 year of leadership experience (REQUIRED).
• Extensive Nursing Facility or Long-Term Care experience preferred.
• Knowledge of Long-Term Services and Supports (LTSS), Home and Community-Based Services (HCBS), or Medicaid requirements.

Pay

The base pay rate for this full-time position is $48.79 - $81.31 per hour. Additional compensation may be available, including shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Benefits

• Medical, Dental, and 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.
• Opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria are met.