RN Case Manager

Actalent; Miami (FL); Hybrid; USD 52,000 - 61,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

HSA

Onsite orientation and hybrid work

Job summary

Actalent is seeking an RN Case Manager with OB experience to coordinate maternal and child health care, manage high-volume caseloads, and ensure evidence-based practices. The role requires strong EHR skills and Medicaid navigation within a hybrid Florida work environment.

The position is a Contract to Hire based in Miami/Sunrise areas, with an expected schedule and ongoing professional development.

Qualifications

• Active, unrestricted RN license in Florida.
• 35 years of clinical obstetric nursing experience (delivery, high-risk antepartum, postpartum, or NICU).
• 35 years of case management experience in a managed care setting.
• Experience with utilization management in healthcare or managed care.
• Experience supporting Medicaid members and related services.
• Strong organizational skills for high-volume caseloads.
• Excellent documentation in EHR/case management systems.
• Care coordination and discharge planning for obstetric and neonatal populations.
• Ability to work independently while meeting productivity/quality targets.
• Commitment to evidence-based practice and continuous improvement.

Responsibilities

• Conduct intake assessments to identify clinical needs and appropriate levels of care.
• Develop individualized, evidence-based care plans for obstetric and neonatal needs.
• Coordinate care across inpatient, outpatient, and community services.
• Manage discharge planning for obstetric and neonatal patients.
• Monitor outcomes and adjust plans based on patient progress.
• Educate patients on disease management, maternal and newborn health, and community resources.
• Make outbound/inbound follow-up calls to support adherence to care plans.
• Coordinate utilization management in line with Medicaid guidelines.
• Assist Medicaid members in navigating benefits and access to services.
• Document assessments, interventions, and outcomes in EHR and case management systems.
• Collaborate with physicians, nurses, social workers, and program staff.
• Use care coordination and discharge planning to reduce readmissions.
• Participate in training on maternal health quality measures and Medicaid rules.

Skills

RN license (FL)

OB nursing experience

Case management

Utilization management

Medicaid experience

Organization & multitasking

EHR documentation

Care coordination

Independent work

Evidence-based practice

Tools

EPIC

Microsoft Office

Job description

Actalent is Hiring an RN Case Manager // Must Have OB Experience!!

Job Description

The Obstetrics Case Manager (OB RN Case Manager) coordinates comprehensive care for maternal and child health populations, ensuring safe, evidence-based interventions across the continuum of care. This role focuses on intake assessments, individualized care planning, discharge coordination, and ongoing monitoring of clinical outcomes for pregnant and postpartum individuals and their newborns. The position requires strong documentation skills, proficiency with electronic health record (EHR) systems, and the ability to manage a high-volume caseload while maintaining quality and compliance standards. The role supports Medicaid contract requirements and is dedicated to improving maternal and neonatal outcomes within the community.

Responsibilities

• Conduct thorough intake assessments for maternal and child health patients to identify clinical needs, risk factors, and appropriate levels of care.
• Develop individualized, evidence-based care plans that address obstetric, neonatal, and high-risk antepartum and postpartum needs.
• Coordinate care across the continuum, including inpatient, outpatient, and community-based services, to ensure seamless transitions and continuity of care.
• Manage discharge planning for obstetric and neonatal patients, ensuring safe transitions, appropriate follow-up, and clear patient instructions.
• Monitor clinical outcomes and quality measures for maternal and child health populations and adjust care plans based on patient progress and changing needs.
• Provide patient education on disease management, maternal and newborn health, and available community resources to support long-term health outcomes.
• Perform outbound and inbound patient calls to conduct follow-up, reinforce care plans, and support adherence to recommended treatments and appointments.
• Coordinate utilization management activities, ensuring appropriate use of services in alignment with managed care and Medicaid guidelines.
• Support Medicaid members by navigating benefits, addressing barriers to care, and promoting access to necessary services and resources.
• Document all assessments, interventions, communications, and outcomes accurately and thoroughly in EHR and case management systems.
• Maintain strong organizational practices to manage a high-volume caseload while meeting productivity metrics and quality standards.
• Collaborate effectively with multidisciplinary teams, including physicians, nurses, social workers, and community program staff, to optimize patient care.
• Use care coordination and discharge planning skills to reduce avoidable readmissions and improve maternal and neonatal health outcomes.
• Participate in training and ongoing professional development related to maternal health quality measures, Medicaid regulations, and case management best practices.
• Adapt to hybrid work requirements, including onsite orientations, training sessions, and occasional visits, while maintaining consistent patient support.
• Contribute to a mission-driven culture focused on improving maternal and child health outcomes across Florida through compassionate, patient-centered care.

Essential Skills

• Active, unrestricted Registered Nurse (RN) license in the state of Florida.
• 35 years of clinical nursing experience in obstetrics, including active delivery, high-risk antepartum, postpartum, or neonatal intensive care (NICU) settings.
• 35 years of experience in case management within a managed care organization, health plan, or insurance carrier.
• Demonstrated experience with utilization management in a healthcare or managed care environment.
• Experience supporting Medicaid members and navigating Medicaid-related care and services.
• Strong organizational skills with the ability to prioritize tasks and manage a high-volume caseload.
• Excellent documentation skills and attention to detail for accurate, timely recordkeeping in EHR and case management systems.
• Proficiency in care coordination and discharge planning for obstetric and neonatal populations.
• Ability to work independently while consistently meeting established productivity metrics and quality expectations.
• Commitment to evidence-based practice and continuous improvement in maternal and child health outcomes.

Work Environment

This role is based in Florida within a hybrid work model that combines remote work with scheduled onsite requirements. The standard schedule is Monday through Friday, 8:30 AM to 5:00 PM with a 30-minute lunch break, and offers flexible start times to accommodate varying needs. Initial orientation occurs onsite on Mondays for computer pickup, followed by onsite training sessions on Tuesdays and Thursdays, and onsite EPIC training on Wednesdays. After the initial training period, the position transitions to primarily hybrid work with occasional onsite visits in Sunrise, Florida as needed. The work environment is mission-driven and collaborative, focused on improving maternal and child health outcomes across the state. Team members use EHR platforms, including EPIC, and Microsoft Office tools to manage patient care, documentation, and communication. The culture emphasizes professional growth, ongoing training, and supportive collaboration, providing flexibility and resources to help clinicians succeed in a high-impact, community-oriented setting. Dress code during onsite days aligns with professional clinical or business casual standards appropriate for healthcare and office environments.

Job Type & Location

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

Pay And Benefits

The pay range for this position is $38.00 - $44.00/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)

Application Deadline

This position is anticipated to close on Oct 28, 2026.

Workplace Type

This is a hybrid position in Miami,FL.

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 [e-mail] 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.