Health Plan Nurse Coordinator

Health Plan Nurse Coordinator (RN)- 100% Remote Overview We're seeking an experienced Registered Nurse (RN) to support care management, utilization review, and population health programs. You'll work closely with members, providers, and interdisciplinary teams to improve health outcomes and ensure members receive appropriate, coordinated care. Responsibilities Conduct utilization review and care management activities. Coordinate care transitions and support population health initiatives. Collaborate with providers, members, and care teams. Maintain accurate clinical documentation and member records. Ensure compliance with HIPAA, regulatory, and health plan requirements. Identify quality-of-care concerns and participate in quality improvement efforts. Manage multiple priorities while meeting established deadlines. Required Qualifications Active, unrestricted RN license. Experience with Utilization Management (UM) or Utilization Review . Strong clinical assessment and care coordination skills. Excellent communication and organizational abilities. Knowledge of HIPAA and healthcare compliance requirements. Ability to work independently and collaboratively. Preferred Qualifications Experience in Case Management, Disease Management, or Population Health. Health plan, hospital, or provider-based care management experience. HEDIS abstraction experience. Bilingual Spanish preferred. Benefits Competitive pay Pension plan Medical, dental, vision, and life insurance Professional development and wellness programs Collaborative, mission-driven culture Join a team dedicated to improving community health through high-quality, coordinated care. Job Type & Location This is a Contract position based out of Santa Barbara, CA. Pay and Benefits The pay range for this position is $47.00 - $47.00/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 fully remote position. Application Deadline This position is anticipated to close on Aug 14, 2026. 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 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service. 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 [email protected] for other accommodation options. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.