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Managed Care Case Manager - Rochester NY

Rochester, NY 14625

Posted: 07/20/2025 Employment: Direct Hire Job Number: 4284 Pay Rate: 95,000

Job Description

Vitus Search Group has been working with a massive Healthcare Entity that encompasses the entire nation.   We are having extremely good success with them and have been asked to participate in a large class hiring for Managed Care Employees 

 We are seeking 4 Managed Care Employees in the Rochester NY 

 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 $95K - Could go a bit higher depending on depth of backgrounds 

Immediate Starts 

Meet Your Recruiter

Chuck Stamford

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