Managed Care Resources MCR Jobs in Los Angeles

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4 Managed Care Resources MCR jobs in Los Angeles, California found on Monster.

Jobs 1 to 4 of 4
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, 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...
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...
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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