Remote - Registered Nurse Case Manager

Job Title: Care Manager / Case Manager (Remote)

Job Description

The Care Manager provides comprehensive care management services to beneficiaries with planned admissions to acute care hospitals and 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, tailoring interventions and services to close gaps in care and support optimal clinical outcomes in a cost-effective manner. The Care Manager collaborates closely with patients, families, physicians, hospitals, and other health care team members throughout the pre-admission, admission, and post-discharge phases.

Responsibilities

• Contact patients with upcoming hospital admissions to provide pre-admission counseling, explain expectations, and discuss the planned course of care.

• Assess each patients condition to understand their illness or injury and evaluate their ability to follow the treatment plan.

• Advise patients of the probable length of hospital stay and help anticipate and arrange for services needed at discharge.

• Collaborate with physicians and hospital staff to reinforce treatment plans and medical orders, ensuring adherence to recommended care.

• Ensure patients receive appropriate specialty care and diagnostic tests as ordered by the medical team.

• Communicate regularly with medical team members to discuss patients progress, changing needs, and care priorities.

• Arrange and coordinate health care team services to avoid duplication of services and conserve benefit dollars.

• Evaluate the need for and authorize medical equipment, supplies, and services required to support the treatment plan.

• Identify potential problems in the course of care and act proactively to anticipate and avoid complications.

• Educate patients and families on proper care, self-management, and recovery expectations, referring back to physicians or other health care providers as needed.

• Recognize clinical plateaus, improvements, regressions, and emotional depressions, and provide appropriate counseling and support.

• Conduct hospital visits to monitor patient status and ensure continuity and quality of care.

• Confer with physicians to clarify diagnoses, prognoses, therapies, and daily living activities, and share relevant information to support care decisions.

• Authorize recommended modalities of treatment and investigate or suggest appropriate alternatives when necessary.

• Document detailed case summaries in a Transitional Care Plan and share information appropriately with beneficiaries and providers.

• Facilitate beneficiary transfers among regions and collaborate with military liaison personnel to minimize disruption of care or services.

• Coordinate basic benefits and identify, document, and submit modifications, requests for exceptions, or special programs when warranted.

• Assess patients benefit plan coverage and limitations to ensure services are aligned with plan provisions.

• Negotiate cost-effective rates for provider services by contacting multiple providers, comparing specialty item costs, researching required equipment, and pursuing contracts as appropriate.

• Suggest medically appropriate alternatives that achieve treatment goals more cost-effectively while maintaining quality of care.

• Contact patients within 48 hours of discharge to verify they have sufficient support for full recovery and to reinforce the post-discharge care plan.

• Ensure patients receive ordered equipment, home health services, and other support services following discharge.

• Assess patients compliance with prescribed medications and follow-up appointments, and intervene to address barriers to adherence.

• Assist patients in coordinating transportation and other basic needs, and support them in navigating the health care system effectively.

• Use Microsoft Office tools to document, track, and communicate case information in an accurate, timely, and professional manner.

Essential Skills

• Graduate of a Nursing program; BSN degree preferred.

• Alternatively, graduate-level education in Clinical Psychology or Clinical Social Work.

• Minimum of 2 years of relevant experience in case management, managed care, acute care, home health, hospice, or hospital settings.

• Current, valid, and unrestricted Registered Nurse license, maintained in good standing.

• Demonstrated experience in case management and care coordination across the continuum of care.

• Knowledge of managed care principles and benefit coordination.

• Experience working with patients in acute care environments and during transitions of care.

• Proficiency with Microsoft Office Suite, including Excel, Outlook, and Word.

• Ability to assess clinical conditions and psychosocial needs and translate them into actionable care plans.

• Strong communication skills to interact effectively with patients, families, physicians, and interdisciplinary teams.

• Ability to negotiate and coordinate services in a cost-effective manner while maintaining quality of care.

• Organizational skills to manage multiple cases, documentation requirements, and follow-up activities.

• Ability to work independently in a remote environment while maintaining confidentiality and professionalism.

Additional Skills & Qualifications

• BSN degree is preferred for candidates with a nursing experience.

• Experience in home health, hospice, or hospital settings is highly beneficial.

• Bilingual Spanish-speaking skills are preferred and support effective communication with a broader patient population.

• Strong critical thinking and problem-solving abilities to identify care gaps and prevent complications.

• Comfort with benefit plan review, cost comparisons, and negotiation of provider rates.

• Ability to provide empathetic counseling and support to patients and families during stressful health events.

• Experience documenting care plans and case summaries and sharing information appropriately with stakeholders.

• Familiarity with transitional care planning and coordination across different regions and facilities.

Work Environment

This is a remote position that requires a reliable, high-speed Wi-Fi connection and a quiet, private room with a door that can be closed to ensure confidentiality and focus. The standard schedule is Monday through Friday, 11:30 a.m. to 8:00 p.m. EST to start. Work is conducted using standard office technologies, including the Microsoft Office Suite (Excel, Outlook, Word), and involves frequent virtual communication with patients, families, physicians, and other health care professionals. The environment emphasizes professional conduct, accurate documentation, collaboration, and respect for patient privacy, while offering the flexibility and convenience of working from home.

Job Type & Location

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

Pay and Benefits

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

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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)

Job Type & Location

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

Application Deadline

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

Workplace Type

This is a fully remote position.

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 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

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 [email protected] for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.