RN Case Manager Specialist
24 hours ago
Job Title: RN Case Manager Specialist
">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.
">Salary: $85,000 - $110,000 per year, based on experience and qualifications.
">Job Description:
">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.
">Responsibilities:
">- 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:
">- 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">
Benefits:
">- 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">
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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