Managed Care Resources MCR Jobs in Garden Grove

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7 Managed Care Resources MCR jobs in Garden Grove, California found on Monster.

Jobs 1 to 7 of 7
A growing medical management company is adding multiple senior level claims specialists to their team. This is a production based position with the following knowledge required: EZ Cap software Medical Claims, i.e. inpatient/hospital claims Work well under pressure Sound like you? Let us know ASAP...
A large Medical Management company is hiring full time, veteran Claims Specialists to join their growing team. Required skills: Inpatient/hospital claims EZ-CAP software Enjoy fast paced, production based environment Apply now for immediate consideration....
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...
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...
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...
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...
A national outpatient organization is looking to add a veteran Case Manager (RN) to their established team. Under new leadership, the case manager will be responsible for complex and catastrophic cases within their existing chronic disease patient population. Knowledge of Medi-Medi guidelines is a must, and familiarity with Interqual is also preferred given the amount of interface with hospitals i...

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