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Managed Care Case Manager - Tacoma WA
Posted: 06/28/2025
Employment:
Direct Hire
Job Number: 4214
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
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.
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