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Managed Care Case Manager - Ogden UT

Ogden, UT 84408

Posted: 03/09/2025 Employment: Direct Hire Job Number: 3844 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 Ogden, UT

Ready to embark on a rewarding career journey in Ogden, Utah? Nestled at the foot of the Wasatch Mountains and boasting a bustling arts scene with venues like the Eccles Community Art Center and Peery's Egyptian Theater, Ogden is a vibrant hub of opportunity and growth for job seekers. Home to iconic landmarks like the Ogden Union Station and the Treehouse Children's Museum, this charming city offers a unique blend of outdoor recreation and cultural experiences. Explore job opportunities in this enchanting location and discover why Ogden is the perfect place to take your career to new heights.