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Managed Care Case Manager - Manchester NH

Manchester, NH 03111

Posted: 05/03/2025 Employment: Direct Hire Job Number: 4053 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 Manchester, NH

Discover exciting job opportunities in the vibrant Manchester, New Hampshire area! Nestled in the heart of the Granite State, Manchester boasts a thriving job market with plenty of room for career advancement and personal growth. With its picturesque Merrimack River, historic landmarks like the Palace Theatre, Currier Museum of Art, and the Fisher Cats playing at Northeast Delta Dental Stadium, this city offers a unique blend of culture and charm. Explore the local culinary scene, beautiful parks like Livingston Park and McIntyre Ski Area, and take in the breathtaking scenery of nearby Lake Massabesic. Start your career journey in Manchester, NH, and unlock a world of endless possibilities!