Managed Care Resources MCR Jobs in Whittier

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9 Managed Care Resources MCR jobs in Whittier, California found on Monster.

Jobs 1 to 9 of 9
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...
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...
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...
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...
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, patient a...
A national outpatient organization is looking to add a veteran Case Manager (RN) to their established team. Under new leadership, the case manager will be responsible for complex and catastrophic cases within their existing chronic disease patient population. Knowledge of Medi-Medi guidelines is a must, and familiarity with Interqual is also preferred given the amount of interface with hospitals i...
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...
The Catastrophic Case Manager (CCRNCM) is responsible for providing care management services to members of the organization's Medicare and Medicaid health plans of California. Key responsibilities include: Intense complex care management of members meeting the criteria of catastrophic needs. These will include those members identified with acute care hospitalization(s) More than one ER visit in a...
Inpatient Concurrent Review Nurse Medical Office Monday-Friday; 40 hours per week RN Job Description 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 Communication wi...

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