Remote RN Care Management Leader

Actalent

Santa Barbara (CA)

Remote

USD 69,000 - 76,000

Full time

2 days ago
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Benefits offered by this job

Medical, dental & vision
401(k) Plan with employer match
Life Insurance (Voluntary)

Job summary

Actalent is seeking an experienced Care Management Supervisor (RN) to lead a remote Adult Case Management team in California. You will oversee staff performance, drive outcomes, and foster collaboration with providers, members, and community organizations.

The ideal candidate holds a CA RN license, a nursing-related bachelor's degree, and at least 5 years of clinical care experience with 3 years in leadership and 2 years in managed care.

Qualifications

  • Current, active California RN license.
  • Bachelor's degree in Nursing or related healthcare field preferred.
  • Minimum of 5 years clinical healthcare experience.
  • Minimum of 3 years leadership or supervisory experience in a clinical setting.
  • Minimum of 2 years managed care experience.
  • Experience with case management, care coordination, utilization review, and healthcare program oversight.
  • Strong knowledge of healthcare regulations, clinical documentation, and care management best practices.
  • Proficiency with EHR systems and Microsoft Office.
  • Excellent verbal, written, and interpersonal communication skills.
  • Ability to supervise and motivate remote teams.

Responsibilities

  • Supervise and support Adult Case Management staff in a remote environment.
  • Monitor productivity, performance metrics, and quality standards to ensure program success.
  • Provide ongoing coaching, mentoring, training, and professional development to team members.
  • Facilitate effective communication between staff, members, and healthcare providers.
  • Address employee performance concerns and support resolution of staff-related issues.
  • Review workflows and identify opportunities to improve operational efficiency and member outcomes.
  • Collaborate with cross-functional teams to support care management initiatives and organizational goals.
  • Ensure compliance with regulatory requirements and clinical best practices.
  • Support utilization review and care coordination activities as needed.
  • Promote a culture of accountability, collaboration, and continuous improvement.

Skills

RN license
Leadership
Managed care
Case management
Care coordination
Utilization review
Documentation/comms
Remote team supervision

Education

Bachelor's degree in nursing or related field

Tools

Electronic Health Records (EHR)
Microsoft Office

Job description

Actalent is seeking an experienced Care Management Supervisor (RN) to lead a remote Adult Case Management team in California. You will oversee staff performance, drive outcomes, and foster collaboration with providers, members, and community organizations.

The ideal candidate holds a CA RN license, a nursing-related bachelor's degree, and at least 5 years of clinical care experience with 3 years in leadership and 2 years in managed care.

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