Managed Care Resources MCR Jobs in Long Beach


6 Managed Care Resources MCR jobs in Long Beach, California found on Monster.

Jobs 1 to 6 of 6
Ambulatory Case Manager – Registered Nurse (RN) LVN 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 ...
The Patient Care Coordinator provides office and referral management support services and assists the Case Managers in obtaining medical records, documenting all case information in the system, performing data entry into appropriate databases for monitoring and tracking, and following up on phone calls as directed by the Case Managers. The Patient Care Coordinator serves as a contact between memb...
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 ...
Our client is looking for an RN who will work Home Health and Hospice doing office and/or field Case Management. This is not a clinical position but a position where you are consulting with family, doctors, patients and nurses to refer for the right level of care or the next step in comforting the patient and families. You must have Hospice or Home Health Case Management experience. Palliative ex...
Intake Coordinator - Home Care - Registered Nurse (RN) About the Job: Home Care Intake Coordinator (Office Desk job) Processing new orders and sending to Field Case Manager for follow up Responsible for ICD-9 coding Plan of care proofreading (OASIS) 485 correction Responsible for Chart Audits, Documentation of Medical Necessity Home Health, Hospice, Palliative Care Requirements California...
Registered Nurse (RN) - Quality Improvement (QI) - Home Health, Hospice Major Home Health, Hospice Department Quality Nurse (QI, QA, QM) Must have at least 3+ Years experience in Quality Home Health 40 Hours a Week About the Job: Participates in development and implementation of Quality Improvement programs To review health procedures and statistics. To determine and document any areas tha...

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