RN Case Manager

Job Title: RN Case Manager Assistant

Job Description

The RN Case Manager is responsible for conducting medical necessity screening and collaborating with the interdisciplinary team to provide coordinated care. This role supports regulatory compliance and follows evidence-based practices. Responsibilities include medical necessity screening, care coordination, implementation of transition plans, communication with the interdisciplinary team, management of disputes, and thorough documentation in electronic systems. The role also involves maintaining patient demographic and insurance information, identifying utilization issues, and supporting appropriate care levels through effective communication with payers.

Hard Skills

• Utilization management

• Discharge planning

• HealthConnect or EPIC experience

• Excel data entry

Soft Skills

• Effective communication

• Collaboration

• Documentation skills

• Resource management

Job Type

This is a contract position with a duration of 13 Week(s). This is from 8pm to 6:30am role which is onsite and during the night shift.

Work Site

This is a fully on-site position in San Marcos, California.

Work Environment

The position is available in San Marcos, where previous case management and EPIC experience is preferred. Another opportunity is available in Zion, requiring case management and ED experience with a willingness to work 10-hour night shifts in the ED department.

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.