Managed Care Resources MCR Jobs in Hollywood

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

Jobs 1 to 5 of 5
Case Manager, Inpatient (Concurrent Review) Monday - Friday; 8/hr/day About the Job: Utilization Review, Concurrent Review, Discharge Planning, Transfers Level of Care and length of stay reviews (SI / IS) Reviews, verifies and processes requests for referrals, inpatient and outpatient procedures, home health services, DME Strong problem solving and organizational skills Knowledgeable of: D...
Job Duties and Essential Functions: Read and be familiar with the Employee Handbook and comply with all company policies and procedures. Design and implement quality initiatives designed to improve performance for referrals production and timeliness, to include daily quality reviews. Establish and facilitate routine communication and feedback mechanisms for quality findings to the referral and ...
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. Utilization review including assessment of medical records for appropriateness, level of care provided. Assess utilization of treatment, modalities, m...
Ensuring the quality of credentialing files of contracted providers in accordance with NCQA and DHS guidelines. Responsible for maintaining internal quality standards, supporting the Credentialing Committee program and coordinating Health plan activities. About the Job: Processes credentialing/re-credentialing files for committee review (NCQA/state regulatory requirements) Ensures that provide...
RN Registered Nurse, Case Manager SNF Placements 8/hr/day at 40/hr/week ___________________________________ This nurse will work with the skilled nursing facilities, Inpatient Case Managers, SNF Case Managers; placing patients from the Hospital into the local skilled nursing facilities (SNFs) Must have 3+ years experience. About the Agency: Managed Care Resources, Making Careers is a Health...

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