Managed Care Resources MCR Jobs & Careers

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6 Managed Care Resources MCR jobs found on Monster.

Jobs 1 to 6 of 6
Managed Care Resources (MCR) Los Angeles, CA
RN Case Manager - Medical Center About the Job: 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 utilization management, care facilitation, and discharge planning Coordinate discharge planning with physicians, nursing, and social services, patient a...
Managed Care Resources (MCR) Long Beach, 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) Los Angeles, CA
Ambulatory Case Manager – Office Setting 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 membe...
Managed Care Resources (MCR) Los Angeles, CA, 90024
Successful West Los Angeles recruiting firm looking for a Direct Search executive to handle job placements in California market. Managed Care Resources has been working in the California market for 30 years with a proven track record of clients, candidates and success. We are looking for a sales oriented recruiter who will be provided with training during a full on boarding process. Must have a ba...
Managed Care Resources (MCR) Long Beach, CA
Nurse 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 organizationa...
Managed Care Resources (MCR) Tarzana, CA
Review referral requests (routine, urgent & stat) for various office visits, outpatient and inpatient procedures using Milliman Care Guidelines to determine medical necessity Coordinate reviews, deferrals & denials with medical director, medical groups, health plans Create denial letters based on the MD's review and guidelines Submit treatment authorization requests to health plans as needed Deter...

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