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Managed Care Case Manager - Warsaw IN

Warsaw, IN 46580

Posted: 03/02/2025 Employment: Direct Hire Job Number: 3806 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!
 

Meet Your Recruiter

Chuck Stamford

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About Warsaw, IN

Discover Your Next Career Opportunity in Beautiful Warsaw, Indiana! Nestled in the heart of Kosciusko County, Warsaw offers a perfect blend of small-town charm and big-city opportunities. Known as the "Orthopedic Capital of the World," this vibrant community boasts a thriving healthcare industry and a diverse range of job openings. Imagine working alongside innovative companies like Zimmer Biomet and DePuy Synthes, enjoying scenic views of Winona Lake, and exploring the historic Main Street District with its charming shops and restaurants. Don't miss the chance to catch a show at the Wagon Wheel Center for the Arts or take a stroll through the picturesque Central Park. Join us in Warsaw and embark on a fulfilling career surrounded by culture, opportunities, and endless possibilities!