Sacramento, CA, 94278, USA
1 day ago
Nurse
Job Title: Nurse Job Description As a team lead, you will respond to complex medical issues, ensuring consistency in benefit application and may lead cross-functional teams, projects, and initiatives. You will also serve as a proctor to new hires, participating in training and retraining of lower-level nurses. Additional duties include assisting with the development of care management policies, chairing meetings, presenting cases for discussion at Rounds/Care Conferences, and participating in interdepartmental workgroups. You will manage a continuum of care from admission through discharge for assigned patients, partnering with medical staff and utilizing scientific evidence for best practices. Responsibilities + Manage a continuum of care from admission through discharge for assigned patients, partnering with medical staff to ensure compliance with mission, standards, and core values. + Proactively assess and manage all high-risk, high-volume cases throughout the continuum of healthcare needs or until maintenance mode is reached. + Demonstrate a multidisciplinary approach in identifying problems and negotiating with the member’s primary care provider, family members, caregivers, healthcare team, community resources, and health plans. + Participate in the development of patient-focused long and short-term goals, implementing, evaluating, and modifying the care plan. + Research and refer members to alternative funding sources, community services, and other support services for patients and families. + Track all CCS referrals for timely notification of decisions and assist the Medical Director with CCS appeals. Essential Skills + Acute care experience + Case management expertise + Utilization management knowledge + Discharge planning skills + Utilization review capability + Prior authorization proficiency Additional Skills & Qualifications + GED or High School Diploma + CA LVN License Work Environment The position operates within an office setting at the corporate location with dual screens provided. The work shift is Monday to Friday, from 7 am to 3:30 pm. The role requires 40% travel within the Sacramento area, specifically onsite at designated locations, two days per week. Pay and Benefits The pay range for this position is $40.00 - $43.00/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 Sacramento,CA. Application Deadline This position is anticipated to close on Aug 15, 2025. 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 due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.
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