RN Case Manager Specialist

24 hours ago


Orlando, Florida, United States Actalent Full time

Job Title: RN Case Manager Specialist

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About Actalent: As a global leader in engineering and sciences services, Actalent helps visionary companies advance their initiatives through access to specialized experts. With a network of consultants across the U.S., Canada, Asia, and Europe, Actalent serves many of the Fortune 500.

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Salary: $85,000 - $110,000 per year, based on experience and qualifications.

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Job Description:

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We are seeking a dedicated Case Manager to perform care management duties, including assessing, planning, and coordinating medical and supporting services for our members. The goal is to promote quality, cost-effective care.

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Responsibilities:

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  • 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.">
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Requirements:

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  • CALIFORNIA RN license (compact license does not cover California)">
  • Case Management experience">
  • Medicare or Medical experience">
  • Ability to work Monday-Friday, 8am-5pm PST">
  • Position will start on a 2-3 month contract with potential for permanent hire or extension based on performance">
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Benefits:

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  • Gain experience with a national leader in managed care and Medicaid">
  • Work in a fast-paced environment, handling 75 active cases at once">
  • 100% REMOTE POSITION">
  • Support pediatrics OR psych/behavioral health">
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Diversity, Equity & Inclusion: At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. We are an equal opportunity employer and welcome applications from all qualified candidates.



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