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Managed Care Case Manager - Racine WI
Posted: 08/16/2025
Employment:
Direct Hire
Job Number: 4365
Pay Rate: 85,000
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
We are seeking to have a class of 2 RNs start on the 25th of August
We are starting our interviews immediately
Full job description
JOB RESPONSIBILITIES:
Immediate Starts
Come join a great network
Apply today!
We are seeking Case Managers in multiple areas around the country
A great job for a RN - Registered Nurse
We are seeking to have a class of 2 RNs start on the 25th of August
We are starting our interviews immediately
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.
Immediate Starts
Come join a great network
Apply today!
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Ready to embark on a new career adventure in the vibrant Racine, Wisconsin area? Explore our job opportunities in this thriving region known for its picturesque lakefront, charming neighborhoods, and a burgeoning arts scene. Home to the iconic Racine Art Museum, the historic Racine Theatre Guild, and the lush Racine Zoo, this area offers a unique blend of cultural experiences. Indulge in the local delicacies like the famous kringle pastries or spend a day exploring the stunning Wind Point Lighthouse. With easy access to outdoor activities at the Root River and North Beach Park, Racine provides the perfect backdrop for both work and play. Discover the career opportunities waiting for you in this enchanting city!