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Managed Care Case Manager - Jackson MS

Jackson, MS 39209

Posted: 03/02/2025 Employment: Direct Hire Job Number: 3805 Pay Rate: 90,000

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 $90K - 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 Jackson, MS

Ready to embark on a new career adventure in vibrant Jackson, Mississippi? This charming city offers not only job opportunities but also a rich cultural scene, with landmarks like the Mississippi Museum of Art, Thalia Mara Hall, and the Fondren District's eclectic cuisine and art galleries. Jackson is a hub of growth and innovation, making it an ideal location for professionals looking to thrive. Consider joining us in exploring the job listings in this dynamic area and unlock the door to endless possibilities for your career!