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Care Manager I

3 months ago

Orlando, United States Actalent Full time
Case Manager I (RN)

Job Description

As a Case Manager I (RN), your role involves performing care management duties to assess, plan, and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality cost effective care. Your responsibilities include developing, assessing, and adjusting as necessary the care plan to promote desired outcomes. You'll assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options. You'll also coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff to meet the complete medical socio-economic needs of clients. Additionally, you'll develop a plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs, provide patient and provider education, facilitate member access to community based services, monitor referrals made to community based organizations, medical care and other services to support the members overall care management plan, actively participate in integrated team care management rounds, identify related risk management quality concerns and report these scenarios to the appropriate resources, and enter and maintain assessments, authorizations and pertinent clinical information into various medical management systems.
Hard Skills
  • Care Management
  • Case Management
  • RN
  • Medicare
Soft Skills
  • Ability to develop, assess, and adjust care plans
  • Ability to coordinate services between various healthcare providers
  • Ability to facilitate member access to community based services
  • Ability to identify risk management quality concerns
  • Ability to enter and maintain assessments, authorizations and pertinent clinical information into various medical management systems
Job Type

This is a contract position with a duration of 11 Weekly.
Work Environment

This is a remote, work-from-home case management role with a focus on pediatrics - birth to 21.
About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
  • Hiring diverse talent
  • Maintaining an inclusive environment through persistent self-reflection
  • Building a culture of care, engagement, and recognition with clear outcomes
  • Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.