Seeking a dedicated Remote Case Manager to join our team, focusing on reaching out to Medicare members to enroll them in the Care Management program. The successful candidate will build care plans, conduct medication reviews, and assess care plans to ensure the best outcomes for members. This role requires completing approximately 20 calls per day, evaluating member needs, and developing ongoing care plans. Collaboration with providers to identify specialists or community resources is crucial to address unmet needs of the members. The role also includes identifying barriers to care, coordinating between members and their care providers, and providing ongoing follow-up on member status changes. Additionally, the manager will offer resource support in areas like employment and housing and educate members and their families on disease processes, care options, and healthcare benefits.

Needed:

• RN Compact License

• Experience with Medicare

• Home healthcare/Hospice experience

• Remote Case Management experience

• Utilization Management software (Trucare preferred)

Soft skills:

• Ability to coordinate and facilitate care plans

• Effective communication with members, families, and healthcare teams

• Problem-solving and barrier identification

• Providing educational support and resources

Contract Role

100% Remote

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.