City/State

Norfolk, VA

Work Shift

First (Days)

Overview:

Sentara Health Plan is hiring a Supervisor, Utilization Management- Remote in VA!

Status: Full-Time permanent position (40 hours)

Standard working hours: 8:00 am to 5 pm EST, M-F

Location: This position is remote in Virginia

Job Responsibilities:

• 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 case manager competency assessment, 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:

• Bachelor's Degree in Nursing/BSN REQUIRED

Certification/Licensure:

• Valid RN license (Compact/VA)

Experience:

• 3 years of Case Management/Utilization Review experience REQUIRED

• Supervisory- Previous Experience preferred

• Medicaid and Medicare experience preferred

• Experience in Long Term Support Services (LTSS) preferred

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.

Our quality 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—all to help our members improve their health.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. 

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-83633

#Indeed

Talroo – Health Plan

Keywords: MCO, Managed Care, Health Plan, Healthcare, Medicaid, Medicare, Virginia, Remote, Supervisor, Utilization Management

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• Reimbursement for certifications and free access to complete CEUs and professional development•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 enviro