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Managed Care Case Manager - Los Alamos NM

Los Alamos, NM 87545

Posted: 03/09/2025 Employment: Direct Hire Job Number: 3848 Pay Rate: 80,000

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 Los Alamos, NM

Ready to take your career to the next level? Explore our job opportunities in and around Los Alamos, New Mexico! Nestled in the stunning mountains of northern New Mexico, Los Alamos offers a unique blend of natural beauty, scientific innovation, and cultural charm. Home to the famous Los Alamos National Laboratory, this area boasts a highly educated workforce and vibrant community. Discover the rich history at the Bradbury Science Museum, savor the local cuisine at spots like Pig + Fig Cafe, and enjoy outdoor adventures in Bandelier National Monument. With a thriving arts scene, including galleries like Fuller Lodge Art Center, and close proximity to Santa Fe's renowned art galleries and the Santa Fe Opera, Los Alamos is a hub of creativity. Don't miss this chance to make your mark in a place known for its intellect, culture, and natural wonders - explore our job listings today!