Pediatric Care Manager Professional

3 days ago

Orlando, Florida, United States Actalent Full time

Job Summary:

We are seeking a dedicated Pediatric Care Manager to perform care management duties, including assessing, planning, and coordinating all aspects of medical and supporting services across the continuum of care for select members. The goal is to promote quality, cost-effective care.

About the Role:

  • Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long-term goals, and treatment and provider options.
  • Coordinate services between Primary Care Physicians (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical and socio-economic needs of clients.
  • Develop a plan of care based upon assessment with specific objectives, goals, and interventions designed to meet the member's needs.
  • Facilitate member access to community-based services.
  • Monitor referrals made to community-based organizations, medical care, and other services to support the member's overall care management plan.
  • Actively participate in integrated team care management rounds.
  • Identify related risk management and quality concerns and report these scenarios to the appropriate resources.
  • Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems.

Requirements:

  • Graduate from an Accredited School of Nursing.
  • Current state California RN license.
  • 2 years of pediatric clinical nursing experience in a clinical acute care or community setting.
  • Knowledge of healthcare and managed care.
  • Bilingual in Spanish and English (preferred).

What We Offer:

  • A competitive salary of $85,000 - $110,000 per year.
  • A flexible work-from-home environment.
  • Paid holidays and PTO.
  • A supportive and engaging work culture.

About Us:

At Actalent, we are 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, building a culture of care, engagement, and recognition with clear outcomes, and ensuring growth opportunities for our people. We are 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.

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