Managed Care Resources MCR Jobs & Careers

RSS

9 Managed Care Resources MCR jobs found on Monster.

Jobs 1 to 9 of 9
Managed Care Resources (MCR) Tarzana, CA
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...
Managed Care Resources (MCR) Fontana, CA
Prior Authorization (Referral) Nurse Case Manager (RN or LVN) Review referral requests (routine, urgent & stat) for various office visits, outpatient and inpatient procedures using Milliman Care Guidelines to determine medical necessity Coordinate reviews, deferrals & denials with medical director, medical groups, health plans Create denial letters based on the MD's review and guidelines Submi...
Managed Care Resources (MCR) Riverside, CA
Concurrent Review Nurse (LVN or RN) – Medical Office, Desk Job Job Descriptions 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 ascertaining the next appropriate...
Managed Care Resources (MCR) Ontario, CA
Ambulatory Case Manager (Outpatient)– Registered Nurse (RN) or 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...
Managed Care Resources (MCR) Long Beach, CA
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 Co...
Managed Care Resources (MCR) Long Beach, CA
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, pati...
Managed Care Resources (MCR) Torrance, CA
Home Health Hospice Medical Offices QI Coordinator Monday - Friday; 40 Hours About the Job / Looking For: Ability to read and interpret medical record data for chart audits or abstractions OASIS Data Set Skills a plus Title 22, The Joint Commission and CMS (Medicare) Regulations for Home Health Must have functional knowledge of Microsoft applications: Outlook, Word, Excel Ability to naviga...
Managed Care Resources (MCR) Culver City, CA
The Case Manager is responsible for ensuring the continuity of care by coordinating in-facility services, discharge arrangements, transition to the outpatient setting, coordination of all outpatient treatment and assuring that services are provided within the parameters of established contracts and guidelines of the workers compensation laws. This management is either performed on-site or by telep...
Managed Care Resources (MCR) Sherman Oaks, CA
The Medical Authorization Assistant provides office and referral management support services 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 Serves as a contact between members, physicians, providers, and staff, processing the initial intake of information, a...

Get new jobs by email for this search
We'll keep looking and send you new jobs that match this search.
email me

Upload your resume and let employers find you!
It's that simple!

Popular Articles

Seven Sports Jobs and What They Pay Article Rating
Why just work when you can earn a paycheck to play all day? Check out these sports-related jobs and find out what they pay.
Five Holiday Jobs for Extra Income Article Rating
Want to top up your holiday budget? Get a job that pays more than the minimum and has higher demand around the holidays. Here are five to check out.
For Employers: Post Jobs | Search Resumes | Advertise
About Monster | Work for Monster | Advertise with Us | AdChoices | Partner with Us | Investor Relations | Social Media
Terms of Use | Privacy Center | Accessibility Center | Help | Security | Contact Us | Sitemap | Mobile
©2014 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: 2014.4.60.60-301
eTrustLogo