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Managed Care Case Manager - Florence KY

Florence, KY 41042

Posted: 07/29/2025 Employment: Direct Hire Industry: Healthcare Job Number: 4303 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 

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About Florence, KY

Start your next career adventure in and around Florence, Kentucky! This charming region offers not only a thriving job market but also an enchanting blend of southern hospitality and modern conveniences. Nestled in the heart of the Bluegrass State, Florence boasts easy access to iconic landmarks like the Florence Mall and the Florence Freedom baseball team's UC Health Stadium. With a rich culinary scene featuring local favorites like Skyline Chili and Glier's Goetta, as well as cultural gems like the Baker Hunt Art & Cultural Center, there's no shortage of delights to explore beyond the job listings. Discover the perfect job opportunity in this vibrant area and let your career flourish amidst the unique charm of Florence, Kentucky!