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Managed Care Case Manager - Washington PA

Washington, PA 15301

Posted: 08/22/2025 Employment: Direct Hire Job Number: 4387 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.
The position pays $85K - 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 Washington, PA

Join our team and explore exciting job opportunities in and around Washington, Pennsylvania! Located in the heart of beautiful Washington County, just 30 miles southwest of Pittsburgh, this area offers a perfect blend of small-town charm and big-city amenities. From the historic architecture of the Pennsylvania Trolley Museum to the delicious local cuisine found on Main Street, Washington, PA has something for everyone. With easy access to the Meadows Racetrack and Casino, the lush Mingo Creek County Park, and the vibrant cultural scene at the Washington Symphony Orchestra, there's no shortage of entertainment and growth opportunities here. Discover your next career move in this dynamic region and experience the unique allure of Washington, Pennsylvania!