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Managed Care Case Manager - Twin Falls ID

Twin Falls, ID 83303

Posted: 03/09/2025 Employment: Direct Hire Job Number: 3849 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 Twin Falls, ID

Ready to take your career to new heights? Our job opportunities around Twin Falls, Idaho, provide a perfect blend of small-town charm and big opportunities for growth. Nestled in the scenic Snake River Canyon and surrounded by the stunning beauty of the Sawtooth National Forest, Twin Falls offers a vibrant arts scene, with galleries like the Magic Valley Arts Council and theater performances at the historic Orpheum Theatre. Indulge in local specialties like Idaho potatoes and Basque cuisine. With outdoor wonders like Shoshone Falls and Dierkes Lake, along with easy access to recreational activities on the Snake River, Twin Falls is an ideal place to live, work, and thrive. Explore our job listings today and discover the enchanting career possibilities that await you in this captivating region.