Care Manager GYNOB (RN)
Posted:
24 October 2026 (Yesterday)
Application Deadline:
21 January 2027
Vacancies:
1 Vacancy
Job Summary
Immediate need for a talented Care Manager GYN/OB (RN). This is a 06months contract opportunity with long-term potential and is located in FL(Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:26-30621
Pay Range: $39 - $42/hour. Employee benefits include but are not limited to health insurance (medical dental vision) 401(k) plan and paid sick leave (depending on work location).
Key Responsibilities:
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By applying to our jobs you agree to receive calls AI-generated calls text messages or emails from Pyramid Consulting Inc. and its affiliates and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policyhere.
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Job ID:26-30621
Pay Range: $39 - $42/hour. Employee benefits include but are not limited to health insurance (medical dental vision) 401(k) plan and paid sick leave (depending on work location).
Key Responsibilities:
- Review referrals and risk stratification reports to identify member needs and risk factors.
- Conduct comprehensive trimester-based assessments and ongoing clinical assessments.
- Develop implement and update individualized care plans.
- Manage an assigned caseload of complex and high-risk Medicaid members.
- Conduct member outreach and promote active engagement in care.
- Identify and address gaps in care and barriers to accessing healthcare services.
- Coordinate services across providers hospitals behavioral health organizations community agencies and internal interdisciplinary teams.
- Identify social determinants of health (SDOH) needs and connect members with appropriate community resources.
- Facilitate referrals to medical behavioral health social and community-based services.
- Support Transitions of Care (TOC) and complete required post-discharge follow-up.
- Provide education advocacy coaching and support to members and families throughout pregnancy postpartum and other care management programs.
- Collaborate with Healthy Start programs and other maternal-child health resources.
- Monitor member progress and facilitate appropriate case closure or graduation based on program goals and outcomes.
- Maintain accurate and timely documentation of assessments interventions outreach and care plans.
- Ensure compliance with NCQA state regulatory and health plan documentation standards.
- Utilize care management platforms EMRs Microsoft Office and organizational reporting tools.
- Work independently in a remote environment while maintaining effective communication with multidisciplinary teams.
- Minimum 3 years of recent RN clinical experience.
- 5 years of nursing experience preferred particularly in:
- Care Management
- Case Management
- Maternal-Child Health
- Obstetrics (OB)
- NICU
- Pediatrics
- Population Health
- Medicaid Managed Care
- Community Health
- Active unrestricted RN license required.
- Strong critical-thinking and clinical assessment skills.
- Excellent communication and motivational interviewing skills.
- Ability to build rapport with diverse member populations.
- Highly organized self-directed and detail-oriented.
- Strong problem-solving and decision-making abilities.
- Ability to prioritize and manage a large caseload and competing priorities.
- Experience collaborating with community resources providers hospitals and interdisciplinary teams.
- Knowledge of maternal and infant health programs and care management practices.
- Experience addressing social determinants of health and healthcare disparities.
- Ability to adapt to a fast-paced and changing healthcare environment.
- Data-driven mindset with a strong focus on quality outcomes and compliance.
- Ability to work independently and effectively in a remote environment.
Pyramid Consulting Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race colour religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws.
By applying to our jobs you agree to receive calls AI-generated calls text messages or emails from Pyramid Consulting Inc. and its affiliates and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policyhere.
#prof
Required Experience:
Manager
About Company
Drive business growth with Pyramid Consulting’s workforce and technology solutions. We deliver IT services and global talent strategies that scale across industries.