RN, Supervisor- Preauthorization Imagining Team

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plan is hiring a Full-Time Day-shift RN Supervisor.

Candidates must reside in Virginia.

Assumes responsibility, accountability, and leadership for the daily operations, including coordination of work, quality, and service. First-line supervisor in the Department of Medical Care Management for assigned site/function. Facilitates the work of assigned team members. Provides a leadership role in ongoing utilization management, needs identification, and educational offerings. Provides educational services to the Medical Care Management staff. Participates in the work activities of assigned teams and provides case management services as needed. Education

• BSN required

Certification/Licensure

• Valid RN license
• For Integrated Care Management departments, specialty certification is required within one year of eligibility (ACM, CCM, CCCTM, CMAC, or CGMT-BC). For other service lines, certification based on specialty area is required within one year of eligibility.

Experience

• 3 years of Case Management/Utilization Review RN experience required.
• 1 year of Leadership experience required.
• Experience with JIVA, Epic, and QNXT experience preferred.
• Proficient with MCG guidelines (preferred)

keywords: LinkedIn, Nursing Acute Care, Full Time, Case Management, RN, Registered Nurse, BSN, Talroo-Nursing, Monster, care coordinator, utilization review, authorization, denials, medical director, compliance, regulation, medical necessity, service lines, ACM, CCM, TCM, CMAC or CGMT-BC, MCG, JIVA, Epic, QNXT

Benefits: Caring For Your Family and Your Career

• 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 •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and 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.

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

For positions that are available as remote work, Sentara Health employs associates in the following states: 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.