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Remote Utilization Review Nurse
Actalent
Provide clinical education and support for Ambetter members with chronic conditions such as Diabetes and CHF, focusing on dietary practices and self-management plans.
13d ago
$32 - $33
Expert & Leadership (13+ years)
Contractor
Fort Lauderdale, FL
Hybrid
Company Size
5,000 Employees
Service Specialisms
Technical consultation
Performance analysis
Physical development
Injury prevention and recuperation
Sports psychology
360° Marketing
Consultancy with clubs and sporting entities
Legal services
Sector Specialisms
Utilities
Power
Automotive
Food and Beverage
Consumer Products
Industrial Goods
Manufacturing
Mechanical Engineering
Role
What you would be doing
support high-risk
educate dietary
engage members
regional support
plan development
tele outreach
- Supports high-risk Diabetes and CHF members as part of the Quality Assurance Initiative (QAI) for 2025–2026.
- Educate members on dietary practices tailored to chronic conditions including anxiety, asthma, COPD, CHF, depression, and diabetes.
- Maintain member engagement for an average of 90–120 days per enrollment cycle.
- Operates regionally to serve all Ambetter markets.
- Develop and guide members through clinically indicated dietary plans to support self-management and treatment goals.
- Deliver telephonic and digital outreach to engage members in care management programs.
- Document interactions and progress in accordance with program protocols and compliance standards.
- Collaborate with Community Resource Coordinators and market-level partners to ensure comprehensive support.
What you bring
experience
rd
bachelor’s
- Experience: Minimum 2 years of disease-specific education experience (required).
- Licensure: Current, active, and unrestricted Registered Dietitian (RD) license (required).
- Education: Bachelor’s Degree in a health-related field (required).
- Backed by a non-clinical support team and market-level partnerships.
- Health Spending Account (HSA)
- Medical, dental & vision
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- 401(k) Retirement Plan
- Critical Illness, Accident, and Hospital
- Offers Core Care Management and specialty programs including Chronic Conditions Programs.
- Short and long-term disability
- Transportation benefits
- Employee Assistance Program
- Pre-tax and Roth post-tax contributions available
- Time Off/Leave (PTO, Vacation or Sick Leave)
Information not given or found
Interview process
Information not given or found
Visa SponsorshipInformation not given or found
Security clearance- credit and criminal background checks may be required
Company
Overview
$1.3B Annual Revenue
Revenue Figure
Generated annually through a network of technical and consulting services.
27,500+ Consultants
Consultants Network
Comprises a global network of expert professionals across industries.
- Born in July 2021 by merging Aerotek’s engineering & sciences arm with EASi, Actalent emerged as a focused engineering-and-science partner.
- Backed by Allegis Group, it drives scale and speed to market via contract, managed, and technical services.
- Headquartered in Maryland with global reach, it deploys specialized teams across North America, Europe, and APAC on Fortune 500 projects.
- Typical engagements span EV design, vaccine development, lab services, clinical research, and infrastructure systems.
- Expertise covers a wide spectrum: aerospace, defense, healthcare, manufacturing, software systems, environmental and civil engineering.
- We empower people to realize their full potential by providing opportunities to grow and learn.
- We build lasting relationships based on trust, integrity, and respect.
- We champion innovation, continuously seeking creative solutions.
- We are committed to delivering exceptional results for our clients and employees.
- We foster a collaborative environment where team members contribute to collective success.
2050
Target Year
The company has set a goal to achieve net-zero emissions by the year 2050.
- focused on reducing its carbon footprint and enhancing environmental sustainability.
- committed to making energy-efficient investments and improving operational practices for sustainability.
- focuses on reducing waste and increasing recycling in its operations.
- This company prioritizes creating an inclusive workplace where diverse perspectives are valued.
- The organization strives to increase gender diversity and empower women at all levels.
- The company regularly monitors and tracks progress on gender-related diversity goals.
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