Managed Care Resources MCR Jobs in Orange


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

Jobs 1 to 6 of 6
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....
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...
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...
The Discharge Planner, in conjunction with other members of the health care team is accountable for timely coordination of quality health care services to meet the patient's health care needs across the continuum of care. This position requires knowledge of the development stages as services are provided to infants, children, adolescent, pediatrics, adult and geriatric populations. The Discharge P...
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...

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