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Managed Care Case Manager - Carmel IN

Carmel, IN 46032

Posted: 03/02/2025 Employment: Direct Hire Industry: Healthcare Job Number: 3808 Pay Rate: 90,000

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 
  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 $90K - Could go a bit higher depending on depth of backgrounds 

Immediate Starts 

Come join a great network 

Apply today!
 

Meet Your Recruiter

Chuck Stamford

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About Carmel, IN

Ready to take the next step in your career? Explore our job opportunities in the vibrant city of Carmel, Indiana! Known for its charming atmosphere and thriving economy, Carmel offers a unique blend of cultural attractions, including the Palladium concert hall, popular galleries like the ArtSplash Gallery, and the Carmel Repertory Theater. With top-rated schools, beautiful parks like the Central Park and the Monon Community Center, as well as a diverse culinary scene featuring local favorites like the Mudbugs Cajun Cafe, Carmel provides an ideal setting for both personal and professional growth. Join us in Carmel today and discover all the opportunities this dynamic city has to offer!