Managed Care Resources MCR Jobs in California
16 Managed Care Resources MCR jobs in California found on Monster.
A Medical Management Company near Cerritos would love to add a Utilization RN and to their team. With the changes coming everyone's way in the market, this company is growing rapidly and needs a veteran RN to float between Case Management and Utilization Review, helping younger staff, and solving problems as needed. Much of the patient population is Medical or "Medi/Medi," so experience with Medic...
Our client is an established growing hospice organization with multiple sites across Southern California. They have garnered the recent support of exciting investors and leadership. They have their eye on growth, innovation, and constantly improving the patient experience. Coworkers are closer to family than employees. They are now looking for an exceptional Admissions Manager to lead a 10 nurse t...
Hospital, Inpatient RN Case Manager, Care Coordinator 40 hours per week Concurrent Review, Utilization Review, Discharge Planning About the Job: Admitting new patients by reviewing records and applications Determine patient requirements by completing intake assessments. Level of care review. Establishes treatment programs; coordinating services being provided Maintains records by reviewing case no...
An excellent, growing hospice organization is looking to add a force-to-be-reckoned-with Admissions Manager. Leading a team of 10 nurses, the Admissions Manager will be in charge of a dynamic team of skilled professionals who will also collaborate with admissions coordinators and liaisons. This is not a typical 9-5pm position. The manager is in charge of staffing shifts, but the manager will on oc...
The Discharge Planner, in conjunction with other members of the health care team is accountable for timely coordination of quality health care services to meet the patient's health care needs across the continuum of care. This position requires knowledge of the development stages as services are provided to infants, children, adolescent, pediatrics, adult and geriatric populations. The Discharge P...
Hospital - Case Manager, UR 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 treatment, moda...
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...
Case Manager, Inpatient (Concurrent Review) Monday - Friday; 8/hr/day HMO, Desk Job About the Job: Manages a caseload of patients OON/OOA Utilization Review, Concurrent Review, Discharge Planning, Tranfers Level of Care and length of stay reviews Reviews, verifies and processes requests for referrals, inpatient and outpatient procedures, home health services, DME Strong problem solving and organiz...
Inpatient Concurrent Review Nurse Medical Office, Desk job Monday-Friday; 40 hours per week LVN or RN Job Description as follows: Coordination of inpatient admissions, management of entire stay with IPA and health care team. Coordinate directly with the department of inpatient admissions, discharges and transfers as appropriate. Facilitation of movement of the patient through the continuum of care...
An excellent, medium sized acute hospital is looking for a Director to lead their Maternal Services department. Reporting to the CNO, the chosen candidate will be responsible for managing staff, implementing and maintaining department programs, and driving the service line for the hospital. Requirements California RN Bachelor's in nursing 3+ years management experience in Maternal Health 5+ years...
As a manager, you've already had a successful career. You've worked your way up through the nursing ladder, always honing your clinical skills and striving for quality care. Now you're a leader, and are showing others how to follow in your footsteps. That's why we want you. The hospice organization we're representing is established. They have multiple sites across Southern California, and have gar...
You're an experience RN case manager who loves a challenge and a fast paced work environment. You're looking to take your skill set to a world-class acute care organization. You are energetic, efficient, and ambitious. If we're right so far, keep reading. A large nationally acclaimed hospital would like to add a case manager to their "A" team. The chosen candidate needs intimate knowledge of Inter...
Description A fantastic 200+ bed hospital in the LA area is looking for a qualified Director of Case Management to join their team. The chosen candidate will report to the CFO, and be in charge of Social Services and Discharge Planning. We are very excited about the position and look forward to meeting you! Requirements CA RN Bachelor's in Nursing or related field 5 years' experience in Case Manag...
An excellent acute care facility in south Riverside County is looking for a Director to head up their Women's Services department. While the hospital itself is not large (150 beds), it is part of one of the premier management companies in Southern California, combining the intimacy of a small facility with the stability of a larger one. The chosen individual will work closely with the CNO, and ass...
We're looking for a leader. Someone who wants to come to work everyday because they love the people they work with and the service they provide. One of the best hospices in Southern California is looking for an excellent Director of Patient Care to join their team. With an ADC of over 400 patients, the branch is looking for a candidate who can handle a large volume of patients without sacrificing...
A large, 400+ bed west LA hospital just opened an exciting opportunity for a (RN) Director of Case Management and Social Services. Under the direction of the CNO, the DCM will be responsible for staffing, implementing and running department programs, and furthering the hospital's financial and patient care goals. The location is tough to beat in West LA, and compensation for this full time, perman...
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©2013 Monster - All Rights Reserved U.S. Patents No. 5,832,497; 7,599,930 B1; 7,827,125 and 7,836,060 MWW - Looking for Monster Cable? - V: 2013.5.0.223-313