Vacancy Description
Actalent is Hiring a Remote RN Case Manager!! Must Have Pediatric Acute Experience!
Job Description
The Pediatric Case Manager – Population Health & Concierge Care Coordination (Care Coordinator, RN) plays a critical role in managing complex and chronic conditions across a pediatric population within a managed care environment. This position partners closely with providers, hospitals, and multidisciplinary teams to coordinate care, close gaps in services, and improve health outcomes while reducing avoidable utilization. The Care Coordinator conducts comprehensive needs assessments, stratifies risk, and develops individualized care plans aligned with evidence‑based guidelines. This role operates in compliance with Medicaid requirements, patient‑centered medical home (PCMH) standards, and organizational policies to support cost‑effective care delivery and enhance quality of life for members.
Responsibilities
+ Conduct comprehensive needs assessments for pediatric member...
Job Description
The Pediatric Case Manager – Population Health & Concierge Care Coordination (Care Coordinator, RN) plays a critical role in managing complex and chronic conditions across a pediatric population within a managed care environment. This position partners closely with providers, hospitals, and multidisciplinary teams to coordinate care, close gaps in services, and improve health outcomes while reducing avoidable utilization. The Care Coordinator conducts comprehensive needs assessments, stratifies risk, and develops individualized care plans aligned with evidence‑based guidelines. This role operates in compliance with Medicaid requirements, patient‑centered medical home (PCMH) standards, and organizational policies to support cost‑effective care delivery and enhance quality of life for members.
Responsibilities
+ Conduct comprehensive needs assessments for pediatric member...
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