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Job Title: Care ManagerJob Description

The Care Manager is responsible for providing care management services to beneficiaries with planned admissions to acute care hospitals, or to those transitioning from case management or disease management programs. This role systematically identifies and addresses fragmented care for patients with acute, real-time needs and tailors interventions and services to fill gaps and produce optimal clinical outcomes cost-effectively.

Responsibilities

+ Contact patients with upcoming hospital admissions to discuss expectations and assess their condition.

+ Advise patients on probable length of stay and arrange for services at discharge.

+ Work with physicians and hospitals to enforce treatment plans and orders.

+ Ensure patients receive specialty care and tests as ordered.

+ Coordinate health care team services to avoid duplication and conserve benefit dollars.

+ Evaluate the need for and authorize equipment, supplies, and services.

+ Instruct patients and families in proper care and refer patients back to physicians or other health care team members as needed.

+ Conduct hospital visits and confer with physicians to clarify diagnosis, prognosis, and therapies.

+ Document case summaries in Transitional Care Plans and share them appropriately with beneficiaries and providers.

+ Facilitate beneficiary transfers among regions and collaborate with military liaisons to minimize disruption.

+ Assess patients' benefit plan coverage and negotiate cost-effective rates for provider services.

+ Contact patients within 48 hours of discharge to ensure sufficient support for recovery and compliance with medications and follow-up appointments.

Essential Skills

+ Graduate of Nursing program or BSN Degree preferred.

+ 2 years of experience in relevant field.

+ Must have and maintain a current, valid, and unrestricted Registered Nurse license.

+ Strong computer skills including Microsoft Office Suite.

+ Case management and managed care experience.

+ Proficiency in telehealth and telephonic communication.

+ Acute care and care management expertise.

Additional Skills & Qualifications

+ Spanish speaking - Bilingual proficiency.

+ Experience in home health, hospice, or hospital settings.

+ Customer service experience.

+ Call center experience.

Work Environment

This is a remote work position, requiring a strong Wi-Fi connection and a dedicated workspace with a closed door. The work schedule is Monday to Friday, 11:30 AM to 8 PM EST initially, with the possibility of transitioning to a 4-day work week after demonstrating performance on contract.

Pay and Benefits

The pay range for this position is $35.00 - $41.00/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)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jun 11, 2025.

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 [email protected] (%[email protected]) for other accommodation options.