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Managed Care Case Manager - Portsmouth NH

Portsmouth, NH 03804

Posted: 05/03/2025 Employment: Direct Hire Job Number: 4054 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!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!

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Chuck Stamford

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About Portsmouth, NH

Discover exciting job opportunities in the vibrant Portsmouth, New Hampshire area today! Located on the beautiful Seacoast, Portsmouth boasts a rich history, picturesque landscapes, and a thriving arts scene. Home to iconic landmarks like the historic Strawbery Banke Museum and Prescott Park, this charming coastal city offers a unique blend of culture and opportunity for career growth. With its renowned local cuisine, diverse art galleries, live theaters, and outdoor recreation at places like Great Bay National Wildlife Refuge, Portsmouth is an enticing place for job seekers to build their careers. Explore our job listings in this enchanting region and take the next step towards a fulfilling career in Portsmouth!