Remote Pediatric Case Manager

Remote Pediatric Case Manager !

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 nurse collaborates closely with providers, hospitals, and multidisciplinary teams to coordinate care, close gaps, 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. The role includes reviewing inpatient census activity, coordinating discharges, conducting outreach to high-risk members, and providing disease-specific education that empowers patients and families in self-management. This position operates in compliance with Medicaid requirements, patient-centered medical home (PCMH) standards, and organizational policies to support cost-effective care delivery and improve quality of life for members.

Responsibilities

• Conduct comprehensive needs assessments for pediatric members, including those with complex and chronic conditions, to identify clinical, social, and behavioral health needs.
• Stratify member risk levels using established criteria and tools to prioritize outreach and interventions for high-risk pediatric populations.
• Develop individualized, evidence-based care plans that address medical, psychosocial, and care coordination needs for pediatric members and their families.
• Review inpatient census activity regularly to identify members who are hospitalized or recently discharged and ensure timely follow-up.
• Perform proactive outreach to high-risk and medically fragile pediatric members and their caregivers to ensure engagement in care and adherence to treatment plans.
• Provide disease-specific education to patients and families to promote self-management, improve understanding of conditions, and support long-term health outcomes.

Essential Skills

• Active Florida Registered Nurse (RN) license.
• Bachelor's Degree in Nursing (BSN required).
• 3-5 years of clinical nursing experience.
• Pediatric (PED) or Pediatric Intensive Care Unit (PICU) clinical experience supporting medically complex populations.

Considering Candidates Located all over in Florida.

INTERESTED IN THIS ROLE? SEE BELOW TO BE IMMEDIATELY CONSIDERED:

• I am scheduling phone interviews as early as today. All candidates will be considered immediately within 24 hours of applying directly to Fathima
• HOW TO APPLY DIRECTLY: Email your updated resume, brief intro about your interest, preferred method of communication for you (i.e., call, email, text) to fam@actalentservices.com or CALL- 904 530 5415

Job Type & Location

This is a Contract position based out of Jacksonville, FL.

Pay and Benefits

The pay range for this position is $40.00 - $44.00/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 hybrid position in Jacksonville,FL.

Application Deadline

This position is anticipated to close on Jun 15, 2026.

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.

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.

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.