Remote Optum Rn Jobs in Melbourne, FL (NOW HIRING)

A-Line Staffing is now hiring a RN Clinical Case Manager – Medicaid Long Term Care. This will be full time. RN Clinical Case Manager – Medicaid Long Term Care Location: Candidates must reside in one of the following Florida counties: Orange, Osceola, Brevard, or Seminole Schedule: Monday–Friday | 8:00 AM – 5:00 PM EST (flexibility with start/end times) Travel: Local travel up to 75% to member homes or nursing facilities Pay Rate : $40.00 an hour paid weekly + mileage reimbursement Benefits: active after 90 days of employment Key Responsibilities Coordinate case management activities for Medicaid Long Term Care/Comprehensive Program members Conduct comprehensive member assessments using care management tools and clinical data Develop, implement, and monitor individualized care plans Collaborate with PCPs, specialists, community agencies, and interdisciplinary teams Coordinate services including: Prior authorizations, Medication reviews, Condition management support, Community resources and referrals Identify and escalate quality of care concerns through established processes Support members through education, coaching, motivational interviewing, and advocacy Promote member engagement and healthy lifestyle changes Document all case management activities in compliance with regulatory and accreditation guidelines Maintain productivity and quality standards in a remote/field-based environment Required Qualifications Active, unrestricted RN license in Florida Case Management experience required CCM (Certified Case Manager) certification preferred Experience with Medicaid Long Term Care populations INDKS A-Line Staffing is now hiring a RN Clinical Case Manager – Medicaid Long Term Care.

This will be full time. RN Clinical Case Manager – Medicaid Long Term Care Location: Candidates must reside in one of the following Florida counties: Orange, Osceola, Brevard, or Seminole Schedule: Monday–Friday | 8:00 AM – 5:00 PM EST (flexibility with start/end times) Travel: Local travel up to 75% to member homes or nursing facilities Pay Rate: $40.00 an hour paid weekly + mileage reimbursement Benefits: active after 90 days of employment Key Responsibilities Coordinate case management activities for Medicaid Long Term Care/Comprehensive Program members Conduct comprehensive member assessments using care management tools and clinical data Develop, implement, and monitor individualized care plans Collaborate with PCPs, specialists, community agencies, and interdisciplinary teams Coordinate services including: Prior authorizations, Medication reviews, Condition management support, Community resources and referrals Identify and escalate quality of care concerns through established processes Support members through education, coaching, motivational interviewing, and advocacy Promote member engagement and healthy lifestyle changes Document all case management activities in compliance with regulatory and accreditation guidelines Maintain productivity and quality standards in a remote/field-based environment Required Qualifications Active, unrestricted RN license in Florida Case Management experience required CCM (Certified Case Manager) certification preferred Experience with Medicaid Long Term Care populations INDKS