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Managed Care Case Manager - Covington KY

Covington, KY 41011

Posted: 07/29/2025 Employment: Direct Hire Job Number: 4304 Pay Rate: 75,000

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 $75K - 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 Covington, KY

Unlock exciting career opportunities in Covington, Kentucky! This vibrant city nestled along the Ohio River offers a perfect blend of historic charm and modern appeal, making it an ideal location for job seekers. With its proximity to Cincinnati, Covington provides a unique cultural experience, boasting attractions like the Roebling Suspension Bridge, Mainstrasse Village, and the stunning Riverside Drive. Indulge in the local delicacies such as goetta and bourbons while exploring the Carnegie Visual and Performing Arts Center or catching a show at the Devou Park amphitheater. Join our job listings today and discover why Covington, KY, is the perfect place to grow your career!