Managed Care Resources MCR Jobs in Beverly Hills
5 Managed Care Resources MCR jobs in Beverly Hills, California found on Monster.Jobs 1 to 5 of 5
Nurse (RN) Case Manager Monday - Friday; 8/hr/day Medical Management Office About the Job: Manages a caseload of patients by assessing the individual's needs made by the PCP/Specialist. Utilization Review, Concurrent Review, Discharge Planning Reviews, verifies and processes requests for referrals, inpatient and outpatient procedures, home health services, DME Strong problem solving and organiza...
RN Case Manager - Medical Center - 40 hours per week About the Job: Concurrent Review, Level of Care, Severity of Illness (SI), Intensity of Service (IS) and Discharge planning Process TARS, treatment authorizations requests as needed Coordinate chart reviews for quality reports and clinical procedures InterQual or Milliman Requirements Registered Nursing License (CA) About the Agency: Managed Car...
Nurse Case Manager Mon.-Fri. 40 hours per week Duties: 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. Apply case management concepts, principles, and strategies to develop a Plan of Care (Care Plan) that addresses the...
Hospital, Inpatient RN Case Manager / Care Coordinator The Job: Concurrent Review Utilization Review Discharge Planning Authorizations (TARS) Case Management from Admission to Discharge Ability to: Responsible for assessing, planning, implementing, and evaluating the needs of patients for discharge planning and utilization review. Level of Care, Length of Stay, Continued Stay Reviews Coordinate ut...
Over the next 2-5 years, this hospital is looking to become one of the top hospitals in the San Fernando Valley. As a Medical Surgical Supervisor, you will be supervising newer Med-Surg RNs, assisting the Med-Surg Manager with staffing, and putting on any other clinical hats that might be needed. There is serious room to grow hear. Shifts are 12 hours, 3 x week, with good benefits and competitive...
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