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VITUS Search Group
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http://www.vitussearchgroup.com
http://www.vitussearchgroup.com
USD
85000
YEAR
true
Managed Care Case Manager - Houston Tx
Posted: 07/03/2025
2025-07-03
2025-08-19
Employment:
Direct Hire
Job Number: 4230
Pay Rate: 85,000
Job Description
We have multiple opportunities in the Houston Texas area for a massive recruiting class we are privileged helping with.
Please see below...
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
We have 10 Openings that are red hot and available
Start Dates of 21st of July
We are starting interviews on Monday the 7th
Full job description
JOB RESPONSIBILITIES:
Immediate Starts
Come join a great network
Please see below...
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
We have 10 Openings that are red hot and available
Start Dates of 21st of July
We are starting interviews on Monday the 7th
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.
Immediate Starts
Come join a great network
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