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Managed Care Case Manager - White Plains NY

White Plains, NY 10607

Posted: 07/20/2025 Employment: Direct Hire Job Number: 4283 Pay Rate: 95,000

Job Description

Vitus Search Group has been working with a massive Healthcare Entity that encompasses the entire nation.   We are having extremely good success with them and have been asked to participate in a large class hiring for Managed Care Employees 

 We are seeking 7 Managed Care Employees in the White Plains NY area

 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 $95K - Could go a bit higher depending on depth of backgrounds 

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About White Plains, NY

Ready to kickstart your career in the vibrant city of White Plains, New York? Nestled in the heart of Westchester County, this bustling metropolis offers a perfect blend of urban opportunities and suburban charm. Known for its diverse job market, top-notch schools, and easy access to New York City, White Plains boasts a thriving business scene, renowned art galleries like ArtsWestchester, top-notch dining options ranging from classic American fare to international cuisine, and popular attractions like the Westchester County Center and Kensico Dam Plaza. With a rich cultural heritage, excellent quality of life, and a plethora of parks and outdoor activities, White Plains is calling for talented individuals to join its dynamic workforce. Explore our job listings today and take your career to new heights in this exciting region!