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Managed Care Case Manager - Mount Sterling KY

Mount Sterling, KY 40353

Posted: 07/29/2025 Employment: Direct Hire Job Number: 4308 Pay Rate: 75,000

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 $75K - 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 Mount Sterling, KY

Ready to take the next step in your career? Explore exciting job opportunities in and around Mount Sterling, Kentucky! Nestled in the heart of the Bluegrass State, this vibrant region offers a perfect blend of southern charm and endless growth prospects. From the beautiful landscapes of Daniel Boone National Forest to the rich cultural heritage of the historic Mount Sterling Courthouse, there's something for everyone here. Indulge in the local cuisine at popular spots like the Olde Bus Stop Diner or catch a show at the Lyric Theatre. With a thriving arts scene, renowned horse farms, and plenty of outdoor adventures, Mount Sterling is the ideal place to work, live, and thrive. Browse our job listings now and discover your next career opportunity in this enchanting locale!