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Managed Care Case Manager - Johnstown PA

Johnstown, PA 15904

Posted: 08/22/2025 Employment: Direct Hire Job Number: 4385 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 

We are looking for 2  -  Immediate starts!
  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 

Immediate Starts 

Come join a great network 

Apply today!

Meet Your Recruiter

Chuck Stamford

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About Johnstown, PA

Ready to embark on a new career opportunity in the vibrant town of Johnstown, Pennsylvania? Discover a variety of exciting job listings in the heart of the Keystone State! Nestled in the picturesque Laurel Highlands, Johnstown offers a perfect blend of historic charm and modern opportunities for growth. From the famous Johnstown Inclined Plane to the Flood Museum, this area boasts a rich history waiting to be explored. Indulge in local specialties like pierogies at the annual PolkaFest or catch a show at the Pasquerilla Performing Arts Center. With close proximity to outdoor adventures in the surrounding mountains and easy access to Pittsburgh, Johnstown is an ideal location for both work and play. Take the next step in your career journey by exploring our job openings today!