Remote RN Case Manager

Remote RN Case Manager

We are seeking a dedicated RN Case Manager to perform telephonic case management for Medicare Advantage members in the state of Florida. This role involves care coordination activities, developing care plans and assessments, conducting new referrals, calling members, and building new cases in Athena EMR.

Responsibilities:

• Perform telephonic case management for Medicare Advantage members.
• Coordinate care activities and develop comprehensive care plans and assessments.
• Conduct new referrals and engage with members through calls.
• Build and manage new cases using Athena EMR.

Essential Skills:

• Valid RN license in Florida.
• Minimum of 2 years of case management experience in hospital, acute care, home health, or hospice settings.
• Proficiency with Athena EMR software.
• Strong computer skills, including Microsoft Suites, Excel, data entry, and computer documentation.

Additional Skills & Qualifications:

• Ability to manage a caseload of at least 73.
• Experience in patient care, triage, medical records, customer service, and utilization management.
• Experience in fast-paced and high acuity nursing environments.

Work Environment:

This is a hybrid opportunity with work hours from Monday to Friday, 8am to 5pm. The role requires a desire to focus solely on case management work. The company offers a comprehensive benefits package including medical, dental, and vision plans, financial protection options, retirement benefits, wellness programs, and an Employee Assistance Program (EAP).

Job Type & Location:

This is a Contract position based out of Orlando, Florida.

Pay and Benefits:

The pay range for this position is $35.00 - $45.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: medical, dental & vision; critical illness, accident, and hospital; 401(k) retirement plan pre-tax and Roth post-tax contributions available; life insurance (voluntary life & AD&D for the employee and dependents); short and long-term disability; health spending account (HSA); transportation benefits; employee assistance program; time off/leave (PTO, vacation or sick leave).

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. 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 due to a disability, please email actalantaccommodation@actalentservices.com for other accommodation options.