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Managed Care Case Managers - Santa Rosa CA
Posted: 09/30/2025
Employment:
Direct Hire
Job Number: 4526
Pay Rate: 105,000
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
We have a wonderful opportunity here in Santa Rosa CA for 3 Managed Care Case Managers!
We are seeking 3 in total - Hurry up and apply We cannot wait to get started
Class starts on the 13th of October
Thank you
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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Apply today!
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Discover your next career adventure in beautiful Santa Rosa, California! Nestled in the heart of Sonoma County, Santa Rosa offers a perfect blend of stunning natural beauty, a thriving arts and culture scene, and world-renowned vineyards just waiting to be explored. Boasting an array of job opportunities in various industries, from tech startups to renowned healthcare providers, Santa Rosa is the ideal place to grow both personally and professionally. Don't miss out on the chance to work in a vibrant city known for its delectable cuisine, breathtaking parks like Spring Lake and Trione-Annadel State Park, and cultural landmarks such as the Luther Burbank Center for the Arts and the Charles M. Schulz Museum. Check out our listings and take the first step towards a fulfilling career in Santa Rosa today!