Remote RN Case Manager

Job Title:

Remote RN Case Manager

We are seeking a dedicated RN Case Manager to play a pivotal role in managing chronic and complex medical needs for members across the continuum of care. This position supports the practitioner-patient relationship, promotes adherence to preventive care, and assists members in self‑managing their chronic conditions. The RN Case Manager is responsible for comprehensive care coordination, clinical assessments, and the development of individualized SMART care plans.

• Act as a liaison between the patient and the doctor, supporting practitioner‑patient relationships.
• Coordinate comprehensive care, ensuring compliance with Medicaid contracts and organizational policies.
• Conduct clinical assessments and develop individualized care plans.
• Educate members and facilitate multidisciplinary team collaboration.
• Drive improved health outcomes and reduce gaps in care.
• Perform risk stratification and support hospital discharge planning.
• Conduct outreach to high‑risk or high‑utilization members.
• Track clinical outcomes and identify barriers to treatment adherence.
• Document in accordance with quality, regulatory, and accreditation standards.
• Participate in team huddles and elevate questionable treatment plans to medical leadership.

• Active RN licensure in Florida.
• 3–5 years of clinical experience in chronic disease management or complex case management.
• Experience working in PICU or other complex pediatric care settings.
• Familiarity with Medicaid/Medicare regulations.
• Strong ability to develop and execute SMART care plans.
• High‑level communication skills for member education and team coordination.
• Experience with discharge planning, care plan creation, and resource referral.

• Certified Case Manager (CCM) credential preferred.
• Experience with EHR systems, specifically EPIC.
• Motivational interviewing experience.
• Experience with utilization management processes such as authorizations and appeals.

This is a remote role located in Florida, with primarily remote work and occasional onsite requirements (2‑3 times a year). The schedule is Monday–Friday, 8:30 AM–5:00 PM, with a 30‑minute lunch and flexible start times. Initial training will be remote as well. The position does not involve direct physical contact with patients.

This is a Contract to Hire position based out of Miami, FL.

The pay range for this position is $38.00 - $42.00/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)

This is a hybrid position in Miami, FL.

This position is anticipated to close on Mar 19, 2026.

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 actalentaccom for other accommodation options.