Care Manager RN
Remote Case Manager RN
As a Remote Case Manager, you will be tasked with reaching out to Medicare members to enroll them in the Care Management program. Your responsibilities will include building care plans, completing medication reviews, and conducting care plan assessments. You will be tasked with completing 20 calls per day, evaluate members' needs, and facilitate care plans for optimal outcomes. Additionally, you will develop ongoing care plans, collaborate with providers to identify specialists or community resources, and coordinate between members, their families/caregivers, and the care provider team to ensure adequate service provision. Your role also involves providing ongoing follow-up on member status changes and progress towards care plans, offering resource support such as employment and housing assistance, and educating members and their caregivers on disease processes, care options, and healthcare benefits.
Hard Skills
This is a fully remote role and department. Day time working hours.
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:
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.
As a Remote Case Manager, you will be tasked with reaching out to Medicare members to enroll them in the Care Management program. Your responsibilities will include building care plans, completing medication reviews, and conducting care plan assessments. You will be tasked with completing 20 calls per day, evaluate members' needs, and facilitate care plans for optimal outcomes. Additionally, you will develop ongoing care plans, collaborate with providers to identify specialists or community resources, and coordinate between members, their families/caregivers, and the care provider team to ensure adequate service provision. Your role also involves providing ongoing follow-up on member status changes and progress towards care plans, offering resource support such as employment and housing assistance, and educating members and their caregivers on disease processes, care options, and healthcare benefits.
Hard Skills
- RN Compact License
- Prefer RN license in MI, OR or CA in addition to compact
- Medicare experience
- Home healthcare/Hospice experience
- Remote Case Management experience is preferred
- Utilization Management software (Trucare preferred)
- Problem-solving
- Communication
- Collaboration
This is a fully remote role and department. Day time working hours.
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
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.
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Seniority level
Entry level -
Employment type
Contract -
Job function
Health Care Provider -
Industries
Business Consulting and Services
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