Managed Care Resources MCR Jobs in Burbank

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4 Managed Care Resources MCR jobs in Burbank, California found on Monster.

Jobs 1 to 4 of 4
Nurse Case/Care Manager - Telephonic, Desk Job About the Job: · Care Coordination · Reviews, verifies and processes requests for referrals/authorizations of services. · Strong problem solving and organizational skills in a fast paced environment. · Coordination of care and quality of care. Knowledgeable of: · Effective charting practices and guidelines. · Principles and practices of health...
Case Manager, Inpatient (Concurrent Review) Monday - Friday; 8/hr/day About the Job: Utilization Review, Concurrent Review, Discharge Planning, Transfers Level of Care and length of stay reviews (SI / IS) Reviews, verifies and processes requests for referrals, inpatient and outpatient procedures, home health services, DME Strong problem solving and organizational skills Knowledgeable of: D...
Ensuring the quality of credentialing files of contracted providers in accordance with NCQA and DHS guidelines. Responsible for maintaining internal quality standards, supporting the Credentialing Committee program and coordinating Health plan activities. About the Job: Processes credentialing/re-credentialing files for committee review (NCQA/state regulatory requirements) Ensures that provide...
Description We are looking for a successful Medical Biller to work at a small Mental Health hospital in the Van Nuys area. This is a full time position offering a competitive salary and full benefits. Candidates with a proven track record in a hospital setting doing coding, billing, and collections need only apply. Description of Responsibilities: Health Plan follow-up for claim status Read ...

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