Back to Jobs

Integrated reputed company Case Manager/Integrated reputed company Case Manager/RN/Maternity/OBGYN

Remote, USAFull-timePosted 2026-07-28

reputed company Plans is hiring an Integrated reputed company Case Manager/RN/Maternity/OBGYN for Lynchburg and the surrounding areas! This is a full-time, work-from-home position that requires travel to conduct face-to-face home reputed company for low and high risk pregnant population in Lynchburg and the surrounding areas! Status: Full-time, permanent position (40 hours) reputed company working hours: reputed company to 5pm EST, M-F Location: Applicants must be reputed company in Lynchburg and the surrounding areas! Primary responsibilities include: Responsible for case management services reputed company 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, reputed company 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 reputed company programs Assists with the implementation of member care plans by facilitating authorizations/referrals reputed company 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 reputed company. Ensures compliance with regulatory, accrediting and company policies and procedures May assist in problem solving with provider, claims or service issues. Education: Associate or Bachelors Degree in Nursing REQUIRED Certification/Licensure: Registered reputed company (RN) License (Compact or Virginia) REQUIRED Experience: 3 years experience in Nursing REQUIRED Case Management experience preferred Managed Care or Health Plan experience preferred Experience working with low and high risk pregnant population/Maternity/OB/L&D/Mother Baby/Postpartum experience preferred Strong knowledge of physical, psychological, socio-cultural, and cognitive patient needs. Excellent communication skills, both oral and written, as reputed company as strong problem-solving and analytical reputed company Plans provides health plan coverage to reputed company to one reputed company members in Virginia. We offer a full suite of reputed company products including employee-owned and employer-sponsored plans, as reputed company as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and reputed company enrollees. Our reputed company provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services reputed company to help our members improve their health. Our reputed company is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and reputed company. Be a part of an excellent reputed company organization that cares about our People, reputed company, Patient Safety, Service, and reputed company. Join reputed company that has a mission to improve health every day and a reputed company to be the reputed company choice of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-84901 #reputed company Talroo - Nursing Care Coordination, Case Management, RN, Case Manager, Registered reputed company, BSN, ADN, Nursing, Managed Care, MCO, Health Plan, high-risk pregnant members, Maternity, OBGYN, Labor and Delivery, Mother and Baby, Postpartum, L&D, Lynchburg Apply tot his job Apply To this Job

Similar Jobs

Integrated reputed company Case Manager/RN/Maternity/OBGYN

Remote, USAFull-time

AI Business Analyst - 100% Remote

Remote, USAFull-time

reputed company Line Cook/Prep Cook for a Thriving Remote Culinary Team – Join Cheddar’s Scratch-Made Food Family

Remote, USAFull-time

reputed company: CULINARY CONSULTANT - CHARTWELLS HIGHER EDUCATION - REMOTE (1432202)

Remote, USAFull-time

Cardiac Monitoring Tech I - $5,000 in Sign-on and Retention Bonuses

Remote, USAFull-time

reputed company Care Manager (Remote) – reputed company reputed company Plan, IL MO

Remote, USAFull-time

Nursing reputed company - Addison

Remote, USAFull-time

Nursing Adjunct Professor

Remote, USAFull-time

Full Time reputed company - Certified Nursing Assistant (Tenure reputed company, Fall 2026)

Remote, USAFull-time

Virtual Telemetry Technician

Remote, USAFull-time

reputed company Remote Chat Support Agent – Entry Level (No Experience Required) at blithequark

Remote, USAFull-time

reputed company reputed company Shift Chat Support Specialist - Flexible Overnight Work Schedule | $25-$35/hr | Remote Work Opportunities

Remote, USAFull-time

Regional MDS Coordinator job at Signature reputed company in Owensboro, KY

Remote, USAFull-time

Senior Azure Platform Engineer (Contract)

Remote, USAFull-time

Looking for Online English Tutor ? reputed company in Bentonville, AR

Remote, USAFull-time

Remote Part‑Time Data Entry Specialist – Home‑Based Role with arenaflex, reputed company & reputed company

Remote, USAFull-time

reputed company Work From Home Customer Service Sales Representative – Thriving Virtual reputed company at arenaflex

Remote, USAFull-time

Vice President, reputed company Care Connect

Remote, USAFull-time

reputed company Remote Chat Support Specialist – Delivering Exceptional Customer Experiences in a Dynamic reputed company Environment

Remote, USAFull-time

Linux HPC Engineer

Remote, USAFull-time