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Managed Care Case Manager - Santa Fe NM

Santa Fe, NM 87506

Posted: 03/09/2025 Employment: Direct Hire Job Number: 3847 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 

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About Santa Fe, NM

Ready to embark on a rewarding career in Santa Fe, New Mexico? Dive into a world of endless opportunities in this vibrant city nestled in the Land of Enchantment. Known for its rich cultural heritage, breathtaking landscapes, and thriving arts scene, Santa Fe beckons job seekers with its blend of history and innovation. From exploring the world-renowned Georgia O'Keeffe Museum to savoring authentic Southwestern cuisine at The Shed, there's no shortage of experiences to inspire you here. Discover career growth amidst the adobe architecture of the historic Plaza, or unwind in the serene surroundings of the Sangre de Cristo Mountains. Join us in Santa Fe and let your career flourish in this captivating destination!