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Managed Care Case Manager - Tioga ND

Tioga, ND 58852

Posted: 07/11/2025 Employment: Direct Hire Job Number: 4244 Pay Rate: 85,000

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 $85K - Could go a bit higher depending on depth of backgrounds 

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About Tioga, ND

Calling all job seekers near Tioga, North Dakota! Discover exciting career opportunities in this vibrant region known for its stunning natural beauty, including the nearby Theodore Roosevelt National Park where bison roam freely. Tioga offers a unique blend of small-town charm and big-city amenities, with local galleries, theaters, and delicious local cuisine like the famous fry bread tacos at the Tioga Farmers Market. Consider building your career in this thriving community with abundant growth potential and a welcoming community spirit. Explore our job listings today and embark on a fulfilling career journey in enchanting Tioga, ND.