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Managed Care Case Manager - Leesburg FL

Leesburg, FL 34748

Posted: 03/02/2025 Employment: Direct Hire Job Number: 3796 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 Leesburg, FL

Ready to discover exciting career opportunities in the vibrant region surrounding Leesburg, Florida? This charming area nestled in the heart of Lake County, known for its scenic beauty, thriving arts scene, and close-knit community, offers a wealth of growth prospects for job seekers. From exploring the historic downtown area with its quaint shops and cafes to enjoying the picturesque views at Lake Harris, there's something for everyone here. Whether you're drawn to the renowned Leesburg Center for the Arts, the Melon Patch Theatre, or the recreational activities at the Venetian Gardens, Leesburg has a unique charm that makes it a desirable place to build your career. Dive into our job listings and discover why Leesburg, Florida, is the perfect place to take the next step in your professional journey.