Job Information
Actalent Care Manager RN in St. Louis, Missouri
Job Title: Remote Case Manager RN
Job Description
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 complete 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 MI, OR or CA in addition to compact
Medicare experience
Home healthcare/Hospice background
Remote Case Management experience is preferred
Utilization Management software (Trucare preferred)
Soft Skills
Problem-solving
Communication
Collaboration
Work Site
This is a fully remote position and department.
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.