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Managed Care Case Managers - Orlando FL
Job Description
Vitus Search Group has recently partnered with a massive Managed Care provider that services the 48 states
We are seeking Case Managers in multiple areas around the country
A great job for a RN - Registered Nurse
We have a wonderful opportunity here in Orlando FL for 5 Managed Care Case Managers!
Huge Class coming the day after Labor Day!
We are seeking 5 in total - Hurry up and apply We cannot wait to get started
Thank you
Full job description
JOB RESPONSIBILITIES:
- Provide on-site (hospital, skilled nursing facility) and/or telephonic inpatient case management and concurrent review for identified hospitalized members.
- Monitor medical necessity, appropriateness and efficiency of care using established inpatient guidelines, contacting Supervisor, Physician, Specialist, Hospitalist, and Medical Director as needed.
- Coordinating and assisting with discharging patients from hospitals and SNFs.
- Coordinating transfer of patient to in network facilities when appropriate.
- Participate in discussion of delays / barriers / progression of care at care coordination rounds or in 1:1 meetings with physicians, specialists and/or hospital staff.
- Be knowledgeable of patient’s available benefits / coverage / payor information.
- Be knowledgeable of community programs and resources available to patients within their benefit plan.
The position pays $85K - Could go a bit higher depending on depth of backgrounds
Immediate Starts
Come join a great network
Apply today!
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Explore exciting job opportunities in the vibrant city of Orlando, Florida! Known for its endless sunshine, world-famous theme parks including Walt Disney World and Universal Studios, a thriving arts scene with galleries like the Orlando Museum of Art, and a variety of recreational activities such as Lake Eola Park and the iconic Lake Eola swan boats, Orlando is a hub of innovation and creativity. With a booming economy and diverse job market, this city offers growth potential and a unique lifestyle that blends southern charm with modern amenities. Discover your next career move in Orlando and be part of a dynamic community that celebrates diversity and opportunity. Dive into our job listings today and kickstart your professional journey in the heart of the Sunshine State!