Kaiser Permanente·Springfield, Virginia
The nurse care manager coordinates cost-effective services to enhance member quality of life and independence while reducing inappropriate medical service utilization. They collaborate with the healthcare team to assess member needs, develop care plans, and facilitate access to community and government-funded programs.
The nurse care manager is responsible for coordination of appropriate, cost-effective services that enhance a members quality of life, focus on a members optimal level of independence, and reduces inappropriate utilization of medical services. The nurse care manager collaborates with members and the health care team to achieve evidence based clinical objectives and goals specific to preventative health measures and improved disease self-management.
In close collaboration with the member/members family, and members of the health care team, assesses the members health status, functional limitations, psychological status, social support systems, resources, environmental factors, and response to treatment. Uses motivational interviewing techniques to identify members readiness for change, creates appropriate care plan based on assessments, assists member with health system navigation and connection to community resources. Provides supportive counseling and education to members, families and caregivers, members of the health care team, and others including end-of-life issues and Advance Directives. Effectively manages and coordinates assigned caseload consistent with established criteria. Ensures consistent and reliable documentation of case management activities in compliance with all organization and department standards. Facilitates application process for accessing local, state, and federally funded programs (e.g., Medicaid, Medicare, Disability) and/or refers to appropriate community-based resources. Provides education and coaching to improve overall self-management, health, and wellness. Monitors chronic health conditions to achieve optimal self-management.
Case Manager Certificate (CCM) preferred.
Minimum one (1) year of recent experience with pediatric/adolescent population preferred.
Minimum one (1) year of recent experience with recent labor and delivery of predominately high-risk obstetrics or perinatal population preferred.
Minimum one (1) year of recent experience with nephrology or renal population preferred. Bachelors preferred. Virginia Medicaid requires one year experience working directly with individuals in Cardinal Care Priority populations
Candidates must hold an Associate degree in nursing and possess at least two years of case management or three years of clinical experience. The role requires active Registered Nurse licensure in the primary work state and the ability to travel for in-person home and community assessments.
Market context
In Virginia, nursing-related roles are typically supported by steady demand across hospitals, clinics, and long-term care settings. These positions are competitive because employers often look for both patient-care experience and current credentials, and this role requires a high school diploma, BLS certification, and one of several entry pathways such as CNA, EMT-B, Medical Assistant graduate status, or nursing program progress. Review the AI-summarized requirements and benefits here to save time, then confirm your certification status and clinical hours before applying.