Managed Care Resources MCR Jobs in Culver City


5 Managed Care Resources MCR jobs in Culver City, California found on Monster.

Jobs 1 to 5 of 5
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 ...
Home Health / Hospice Medical Offices (South Bay area) Proven ability to read and interpret medical record data for chart audits or abstractions Ability to track patients and generate reports for CMS and Administration Strong Auditing Skills, ICD-9 Coding Microsoft applications: Outlook, Word, Excel Ability to navigate a database Excellent written and oral communication skills Excellent org...
Ambulatory Case Manager – Office Setting Telephonic Desk Job 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) t...
About the job: We're looking for an innovative Manager with excellent communications skills, foresight, and a passion for educating and mentoring others. The Manager of Ambulatory/Outpatient Care Management will plan, organize, implement, and direct care coordination activities. Responsible for providing oversight and broad direction to case management, which includes care coordination, utilizati...
Hospital - Case Manager 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. Coordinate chart reviews for quality reports and clinical procedures Manage cases smoothly and increase patient/physician satisfaction. Tr...

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