Case Manager RN

Actalent is Hiring an RN Case Manager

Job Description

The RN Case Manager plays a vital 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 role involves comprehensive care coordination, clinical assessments, developing individualized SMART care plans, member education, and facilitating multidisciplinary team collaboration.

The RN Case Manager ensures compliance with Medicaid contracts, organizational policies, and Patient-Centered Medical Home (PCMH) standards, driving improved health outcomes and reducing gaps in care.

Responsibilities

* Conduct comprehensive care coordination and clinical assessments.

* Develop individualized SMART care plans for members.

* Educate members on self-management of chronic conditions.

* Facilitate multidisciplinary team collaboration.

* Ensure compliance with Medicaid contracts and PCMH standards.

* 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 according to quality, regulatory, and accreditation standards.

* Participate in team huddles and escalate questionable treatment plans to medical leadership.

Essential Skills

* Active RN licensure in Florida.

* 3-5 years clinical experience in chronic disease management or complex case management.

* Experience in managed care or health plan settings (Medicaid/Medicare regulatory familiarity).

* Ability to develop and execute SMART care plans.

* High-level communication skills for member education, team huddles, and multidisciplinary coordination.

* Experience with discharge planning, care plan creation, and resource referral.

Additional

Skills & Qualifications

* Certified Case Manager (CCM) credential preferred.

* Pediatric experience, especially in PICU or complex pediatric care.

* Motivational interviewing experience.

* Experience with utilization management processes (authorizations, appeals).

* Proficiency in Electronic Health Record (EHR) systems, particularly EPIC.

Work Environment

This role is part of a mission-driven team dedicated to improving maternal and child health outcomes across Florida. It offers flexibility, training opportunities, and the chance to make a measurable impact on community health. The work environment is supportive and values professional growth and collaboration. The position is hybrid, with occasional onsite requirements in Sunrise, FL. The schedule is Monday to Friday, 8:30 AM to 5:00 PM, with flexible start times and a 30-minute lunch break.

Orientation and training sessions are conducted onsite, with computer pickup and EPIC training included.

Job Type & Location

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

Pay and Benefits

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)

Workplace Type

This is a hybrid position in Sunrise,FL.

Final date to receive applications

This position is anticipated to close on Feb 27, 2026.

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 actalentaccom for other accommodation options.