Nurse Case Manager-

Department and Name:

Care Management -

SHP VA- Health Plan Physical Location:

Lynchburg, VA Location Type:

Remote Employment Status:

Regular-Full time

Shift:

First (Days)

Posted Date:

March 13, 2026 Job Overview Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Charlottesville & Roanoke Virginia Region! This is a Full Time position with day shift hours and great benefits! Requires travel to conduct face-to-face home visits in the member's home or other locations within Charlottesville Region, VA (Amhurst, Appomattox, Charlotte County, Campbell County, Pittsylvania County, Halifax County) Roanoke Region (Bedford and Henry County) Primary responsibilities include: 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 or face-to-face 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. Ensures compliance with regulatory, accrediting and company policies and procedures May assist in problem solving with provider, claims or service issues

Preferred:

Private duty nursing experience and knowledgeable with ventilators in a facility or home Education Associates or Bachelors Degree in Nursing Certification/Licensure Registered Nurse License (RN) - Nursing License - Compact/Multi-State License required. Experience 3 years experience in Nursing Discharge planning experience preferred Managed Care experience preferred

Preferred:

Private duty nursing and knowledgeable with ventilators in a facility or home

Keywords:

Care Coordination, Case Management, Human Services, Community Health, Health Education, RN Case Manager, Registered Nurse, BSN, ADN, Private Duty, Ventilator, LinkedIn, Talroo-Nursing About Us Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 135 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 34,000 employees, 12 hospitals in Virginia and Northeastern North Carolina including 10 hospitals with the prestigious Magnet® recognition, 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 a Health Quality Innovator of the Year (2024), was recognized by Forbes as "America's Best-In-State Employer" (2024), "Best Employer for Veterans" (2022, 2023), and "Best Employer for Women" (2020), and named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018). Learn more (Opens in a new tab)