Description:

Position Purpose: Perform care management duties to assess plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality cost-effective care

• Develop assess and adjust as necessary the care plan and promote desired outcome

• Assess the member's current health status resource utilization past and present treatment plan and services prognosis short and long-term goals treatment and provider options

• Coordinate services between Primary Care Physician PCP specialists medical providers and non-medical staff as necessary to meet the complete medical socio-economic needs of clients

• Develop plans of care based upon assessment with specific objectives goals and interventions designed to meet member's needs

• Provide patient and provider education

• Facilitate member access to community based services

• Monitor referrals made to community based organizations medical care and other services to support the members overall care management plan

• Actively participate in integrated team care management rounds

• Identify related risk management quality concerns and report these scenarios to the appropriate resources

• Enter and maintain assessments authorizations and pertinent clinical information into various medical management systems

Additional Skills & Qualifications:

• Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2 years of pediatric clinical nursing experience in a clinical acute care or community setting.

• Knowledge of healthcare and managed care preferred.

• Prior experience working in a remote role is preferred.

• Prior case management experience preferred. Bilingual in Spanish and English is preferred.

• Need to be able to work PST hours

  Licenses/Certifications: Current California state RN license.

• Case Management that has remote experience

• Home Health Care/Hospice, but not their only experience

• Building care plans, medication review, assessments care plans

Experience Level:

Intermediate Level

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

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 process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.