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Posted 22 July, 2026

Integrated Nurse Case Manager/Registered Nurse (RN) for Maternal Health/ Perinatal in Central Richmo

Sentara Health
Richmond, VA, US Full Time

Job Description

City/State\n
\nRichmond, VA\n
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Work Shift\n
\nFirst (Days)\n
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Overview:\n
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Sentara Health Plans is hiring an Integrated Nurse Case Manager/RN for Maternal Health/ Perinatal for Central Richmond (Henrico, Hanover, Colonial Heights, VA and the surrounding areas)!\n
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The position requires both telephonic and face-to-face assessments and remote telephonic assessments for the low-risk and high-risk pregnant population (Maternal Health / Perinatal / OB-GYN /Labor and Delivery / Mother-Baby / Postpartum) in Central Richmond (Henrico, Hanover, Colonial Heights, VA) and the surrounding areas.\n
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Status: Full-time,permanent position (40 hours) \n
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Standard working hours: 8am to 5pm EST, M-F \n
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Location: Applicants must reside in Central Richmond (Henrico, Hanover, Colonial Heights, VA) and the surrounding areas.\n
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Primary responsibilities include: \n
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  • 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
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  • 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
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  • Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team
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  • 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
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  • Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible
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  • Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans
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  • Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and procedures
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  • May assist in problem solving with provider, claims or service issues.
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Education: \n
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  • Associate or Bachelors Degree in Nursing REQUIRED
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Certification/Licensure: \n
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  • Registered Nurse (RN) License (Compact or Virginia) REQUIRED
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Experience: \n
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  • 3 years experience in Nursing REQUIRED
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  • Case Management experience preferred
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  • Managed Care or Health Plan or Medicaid experience preferred
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  • Experience working with low and high risk pregnant population (Maternal Health / Perinatal / OB-GYN /Labor and Delivery / Mother-Baby / Postpartum) experiencepreferred
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  • Strong knowledge of physical, psychological, socio-cultural, and cognitive patient needs.
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  • Excellent communication skills, both oral and written, as well as strong problem-solving and analytical skills
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\n#Indeed\n
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\nTalroo - Nursing\n
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\nCare Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Managed Care, MCO, Health Plan, high-risk pregnant members, Maternity, OBGYN, Labor and Delivery , Mother and Baby, Postpartum, L&D, Central Richmond, Henrico, Hanover, Colonial Heights, VA, Medicaid \n
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Benefits: Caring For Your Family and Your Career\n
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Medical, Dental, Vision plans \n
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\n • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 \n
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\n • Paid Time Off and Sick Leave \n
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\n • Paid Parental & Family Caregiver Leave \n
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\n • Emergency Backup Care \n
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\n • Long-Term, Short-Term Disability, and Critical Illness plans \n
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\n • Life Insurance \n
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\n • 401k/403B with Employer Match \n
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\n • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education \n
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\n • Student Debt Pay Down - $10,000 \n
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\n • Reimbursement for certifications and free access to complete CEUs and professional development \n
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\n •Pet Insurance\n
\n•Legal Resources Plan\n
\n•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. \n
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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. \n
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\nIn support of our mission “to improve health every day,” this is a tobacco-free environment.\n
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For positions that are available as remote work, Sentara Health employs associates in the following states:\n
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\n 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.