RN Clinician 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

Demonstrates proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (G

Leadership and Transformation of Medicaid UM/CM Programs in support of One Sentara. Continuous improvement in Medicaid clinical performance including readmissions, chronic care utilization and unplanned care through CM outreach and programs. Adherence to each state's Medicaid contract UM/CM requirements. Coordination with Medicare UM/CM to ensure seamless care and managem

Patient Care Tech are unlicensed staff members who are accountable to, and work under the direct supervision of a professional nurse to implement delegated aspects of nursing care. Provide patient care, support the admissions and discharge process, and comply with patient safety practices under the direction of the professional nurse. Observe patients' physical, mental, a

Demonstrates proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (G

Support Sr. Sales Executives and/or Sr. Account Executives in producing and retaining profitable business within small and mid sized segments. Interact with general agents, brokers, benefit administrators, members, and internal resources as needed to achieve profitable growth objectives. HS grad and 5 years related experience. Related years of experience includes Administ

The Patient Access Rep is responsible for all aspects of the patient registration process, including verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, ID's, Living Wills, and POAs and verifying and enter

The Registered Nursing (RN) is responsible to perform a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care teaching and health promotion and evaluation) along with the standards of professional

AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Sr. Underwriter in Miami and/or Gainesville, Florida. This is a hybrid position, 2 days in office and 3 days remote if within local market or 100% remote if outside of local territory. Scope of position The Sr. Underwriter reviews and analyzes risks posed by employer groups requesting group healt

Sentara Medical Group has a Hematology/Oncology opening in the beautiful city of South Boston, VA. Join Sentara's established practice working full time with No Call. Our collegial and innovative team treats a diverse population in our well supported clinic that includes an infusion center, nurse navigator, and soon to be palliative care team on site. Position Highlights

The Registered Respiratory Therapist builds upon the overall pulmonary management in identifying and implementing physician directed respiratory care interventions for an individual or a group of patients. Works cooperatively with nursing and other health care team members for professional respiratory care practice for all patients ranging in ages from neonates to adults

Assist in any and all of the functions normally associated with a qualified health actuary including IBNR calculation; the determination of rating factors such as age, sex, location, or industry; development of rates and filings for the BOI; suggestions for periodic group rating changes; development of necessary rates for government programs; assistance with the developme

The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards to monitor program and operational performance. Promotes self service analytics for customer adoption, understanding and use of data. Supports design of programmatic analyses and reporting capabilities in addition to business requiremen

The Registered Nursing (RN) is responsible to perform a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care teaching and health promotion and evaluation) along with the standards of professional

Nursing Care Partners are unlicensed staff members who are accountable to, and work under the direct supervision of a professional nurse to implement delegated aspects of nursing care. Provide patient care, support the admissions and discharge process, and comply with patient safety practices under the direction of the professional nurse. Observe patients' physical, menta