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Managed Care Resources MCR Jobs in Aliso Viejo

Currently, there are no Managed Care Resources MCR jobs available in Aliso Viejo, California. You may wish to explore jobs in nearby locations on the Managed Care Resources MCR jobs in California page or view related jobs below.
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Managed Care Resources has represented clients and candidates for over 30 years. We are an industry leader in Southern California placing Nurses and health care professionals in the Managed Care field. We are representing a Client that is looking for a Registered Nurse with a Home Health background in Quality Improvement. This is a full time, 40 hour per week position. The work schedule is Monda...

RN Home Health/Hospice Supervisor Major Home Health, Hospice Department looking for a Supervisor Experience in Quality Hospice/ Home Health / Long Term Care Setting Familiarity with Medicare, Title 22 and Joint Commission regulations Chart audits on Plans of Care Monday-Friday, 40 Hours per week Please contact for more details!...

Registered Nurse - Discharge Planner Hospital seeking an experienced RN Discharge Planner. Previous Acute experience is necessary, as well as familiarity with Long-Term Care. Full-Time position, with competitive salary. Please contact for more details. Keywords: Case Manager Impatient Utilization Review Utilization Management Discharge Planning CCM Certified Case Manager Ambulatory Clinical ...

Registered Nurse or Licensed Vocational Nurse with CCS Experience A great full-time position within a Managed Care company that offers competitive pay. Active California Nursing License Familiarity with California Children's Services Experience in the Managed Care setting Please Apply or Contact for more information!...

Licensed Vocation Nurse (LVN) - Utilization Management (UM) A well established Managed Care Company is looking to hire an experienced LVN UM Nurse. This nurse will be performing concurrent review within the office setting. The nurse needs to be familiar with Milliman Care Guidelines Monday - Friday, 8:00AM - 5:00PM, No Weekends or Holidays Contact for more information!...

Exciting opportunity to work for one of LA’s award winning, acute-care hospitals. This hospital offers a wide arrange of clinical services and serves the culturally diverse population of Southern California. This is a great opportunity for a maternity nurse looking to advance their career in the hospital setting. This position is a night shift and works closely with the Maternity Manager and Direc...

RN QI / QA Major Home Health, Hospice Department Experience in Quality Hospice/ Home Health / Long Term Care Setting Familiarity with Medicare, Title 22 and Joint Commission regulations Chart audits on Plans of Care Monday-Friday, 40 Hours per week, Full-Time position Please contact for more details!...

Large provider of Managed Care services has several immediate openings for experienced Claims Examiners in the Managed Care setting. If you are a Claims Examiner within the healthcare setting, have average to above average computer skill, understand the production environment then this is a good fit. Great environment, pay and full time hours. Contract positions but could lead to more for the ri...

NEW - Registered Nurse Case Manager Reputable and renowned Managed Care company is seeking a new Registered Nurse Case Manager. Previous experience in Case Management / Utilization Review preferred, but not a necessity. This position requires a highly motivated nurse that is passionate about patient care and thrives in a fast paced environment. Within the office, you will be creating and monit...

Registered Nurse - Case Manager A rapidly growing Hospital is looking for an experienced Case Manager that is ready to take the next step in their career. They need a licensed RN that is energetic, picks up new systems quickly, and thrives in a fast paced environment. This person should have previous inpatient experience and have knowledge of InterQual guidelines. This is a full-time position ...

Claims Auditor - Quality Control Performs retrospective audits identifying overpayments, underpayments and system configuration issues. Audits daily professional and facility claims for assigned groups. Maintains a solid working knowledge of Healthplan and provider contracts, division of responsibility CPT/ICD9 coding. Software: Microsoft Office, EZ-Cap 2+ years experience in professional and...

New Registered Nurse - with LVN Experience Managed Care Resources is looking for talented new RNs, with previous LVN experience. We have been placing Nurse Case Managers in Southern California's Hospitals and Managed Care facilities, for the last 30 years! We are looking for energetic nurses that have a passion for patient care and grasp new concepts quickly. A lot of jobs want you to have exp...

Licensed Vocation Nurse (LVN) - Utilization Management (UM) Looking for a Los Angles Nurse willing to Re-Locate to Monterey. A well established Managed Care Company is looking to hire an experienced LVN UM Nurse. This nurse will be performing concurrent review within the office setting. The nurse needs to be familiar with Milliman Care Guidelines Monday - Friday, 8:00AM - 5:00PM, No Weekends ...

Licensed Vocation Nurse (LVN) - Utilization Management (UM) A well established Managed Care Company is looking to hire an experienced LVN UM Nurse. This nurse will be performing concurrent review within the office setting. The nurse needs to be familiar with Milliman Care Guidelines Monday - Friday, 8:00AM - 5:00PM, No Weekends or Holidays Contact for more information! Keywords: Case Manage...

Entry Level Registered Nurse Case Manager Have some experience in Utilization Review or Utilization Management? Have some interaction with Case Managers or knowledge of Case Management? Have the interest in breaking into a rapidly growing field, but need an opportunity? If you have an active California Registered Nursing License , Apply now!...

Registered Nurse Case Manager - Managed Care A fast paced Manged Care company is looking to add an experienced Case Manager to their staff. This nurse will be responsible for the care management (coordination of outpatient care) of members with catastrophic illnesses and the chronically ill while ensuring that quality standards are met by using clinical judgment to evaluate and assess. They will ...

Registered Nurse Quality Improvement Auditor (QI, QA) A Major Home Health, Hospice Department Experience in Quality Hospice/ Home Health / Long Term Care Setting Excellent computer skills Familiarity with Medicare, Title 22 and Joint Commission regulations Performing daily chart audits on Plans of Care and daily review of hospice nursing notes to determine if all requirements for documentatio...

Claims Auditor - Quality Control Performs retrospective audits identifying overpayments, underpayments and system configuration issues. Audits daily professional and facility claims for assigned groups. Flags claims for examiner errors. Maintains a solid working knowledge of Healthplan and provider contracts, division of responsibility CPT/ICD9 coding. Software: Microsoft Office, EZ-Cap 2+ y...