• Remote Utilization Review Nurse

    Actalent (Sunrise, FL)


    Actalent is Hiring a Remote DietitianPosition Purpose:

    The Registered Dietitian will provide clinical education and support for Ambetter members enrolled in Disease Management programs, with a focus on Diabetes and Congestive Heart Failure (CHF). This role is part of an enhanced Diabetes program and a newly launched CHF initiative aligned with Ambetter’s condition-specific products for 2025 and 2026.

    Key Responsibilities:

    + Deliver telephonic and digital outreach to engage members in care management programs.

    + Educate members on dietary practices tailored to chronic conditions including anxiety, asthma, COPD, CHF, depression, and diabetes.

    + Develop and guide members through clinically indicated dietary plans to support self-management and treatment goals.

    + Collaborate with Community Resource Coordinators and market-level partners to ensure comprehensive support.

    + Maintain member engagement for an average of 90–120 days per enrollment cycle.

    + Document interactions and progress in accordance with program protocols and compliance standards.

    Qualifications:

    + Education: Bachelor’s Degree in a health-related field (required).

    + Experience: Minimum 2 years of disease-specific education experience (required).

    + Licensure: Current, active, and unrestricted Registered Dietitian (RD) license (required).

    Program Overview:

    + Supports high-risk Diabetes and CHF members as part of the Quality Assurance Initiative (QAI) for 2025–2026.

    + Operates regionally to serve all Ambetter markets.

    + Offers Core Care Management and specialty programs including Chronic Conditions Programs.

    + Backed by a non-clinical support team and market-level partnerships.

     

    Work Environment

     

    Remote Work

    Pay and Benefits

    The pay range for this position is $32.00 - $33.00/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 hybrid position in Sunrise,FL.

     

    Application Deadline

     

    This position is anticipated to close on Oct 14, 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.