Actalent is Hiring Pediatric Case Managers!

Job Description

We are seeking experience Pediatric Case Managers to assess, plan, implement, and coordinate care management activities based on member needs. This role aims to provide quality, cost-effective healthcare outcomes by developing personalized care plans and educating members and their families/caregivers on available services and benefit options. The Pediatric Case Manager will advocate for and coordinate care to ensure members receive appropriate high-quality care.

ResponsibilitiesDevelop or contribute to the development of ongoing care plans/service plans.Identify providers, specialists, and community resources needed for care.Coordinate and manage communications between members, families/caregivers, and the care provider team to ensure timely access to services.Monitor progress towards care plan goals and member status, collaborating with healthcare providers for care plan revisions as needed.Provide psychosocial and resource support to members, caregivers, and care managers to access local resources or services such as employment, education, housing, and more.Identify problems and barriers for care coordination and implement appropriate care management interventions for members with higher care needs.Review referral information and intake assessments to develop suitable care plans for members with higher care needs.Collaborate with healthcare partners to facilitate member care and determine if care plan revisions are necessary.Collect, document, and maintain all member information and care management activities to ensure compliance with state, federal, and third-party payer regulations.Perform on-site visits to assess member needs and collaborate with providers or resources as appropriate.Provide education to care managers, members, and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits.Serve as a Subject Matter Expert (SME) to support the care navigation team and mentor newly hired staff.Comply with all policies and standards.Perform other duties as assigned to meet member and business needs.Essential SkillsFlorida LPN License2 years of experience working with Pediatric populationGraduate from an Accredited School of Nursing if holding clinical licensureExperience in case management and managed careStrong communication and interpersonal skillsAdditional Skills & QualificationsAbility to work collaboratively with a diverse range of contactsExperience in care coordination and medical assessmentKnowledge of ASD and related servicesWork Environment

The Pediatric Case Manager will work in a collaborative environment, interacting with healthcare providers, members, and their families/caregivers. The role may involve on-site visits to assess member needs and coordination with various community resources. The position requires adherence to state, federal, and third-party payer regulations and compliance with all organizational policies and standards.

Pay and Benefits

The pay range for this position is $30.00 - $32.00/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 fully remote position.

Application Deadline

This position is anticipated to close on May 1, 2025.

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 for other accommodation options.