Managed Care Resources MCR
Managed Care Resources MCR Jobs & Careers
Managed Care Resources MCR Sherman Oaks, CA
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...
Managed Care Resources MCR Fullerton, CA
Case Manager, UR Concurrent Review Registered Nurse (RN) Full Time, 40 Hours Per Week About the Job: Concurrent review and analysis of inpatient records to determine if the patient's admission and continued hospital stay triggers any pre-defined quality indicators. Utilization review including assessment of medical records for appropriateness, level of care provided. Assess utilization of treatmen...
Managed Care Resources MCR Orange, CA
The Medical Authorization Assistant (MA) provides office and referral management support services and assists the Case Managers in obtaining medical records, documenting all case information in the system, performing data entry into appropriate databases for monitoring and tracking, and following up on phone calls as directed by the Case Managers. The MA serves as a contact between members, physic...
Managed Care Resources MCR Buena Park, CA
Licensed Clinical Social Worker (LCSW) Medical Group Mental/Behavioral Health Patient focus groups; case work Duties: program coordination and management psycho/social assessment, conducts additional follow-up assessments as necessary crisis intervention counseling provides short-term therapy as needed assist patient in prioritizing needs and coordinating referrals refers clients to the appropriat...
Managed Care Resources MCR North Hollywood, CA
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...
Managed Care Resources MCR Long Beach, CA
This is a position that focuses on utilization review including assessment of medical records for appropriateness, level of care provided. You will assess utilization of treatment, modalities, medications, services and application of treatment protocols. A team approach with other members of internal staff is important. Requirements: California Nurses license, Registered Nurse (RN) Utilization Rev...
Managed Care Resources MCR Hollywood, CA
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...
Managed Care Resources MCR Beverly Hills, CA
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...
Managed Care Resources MCR Los Angeles, CA
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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