Medical & Health category and Healthcare Services industry jobs at Managed Care Resources (MCR) in Sherman Oaks, California

Nurse (LVN) Case Manager Monday - Friday; 8/hr/day Medical Management Office About the Job: Manages a caseload of patients by assessing the individual's needs made by the PCP/​Specialist.​ Utilization Review, Concurrent Review, Discharge Planning Reviews, verifies and processes requests for referrals, inpatient and outpatient procedures, home health services, DME Strong problem solving and organiz...
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Hospital, Inpatient RN Case Manager Full Time - 40 Hours Per Week About the Job: Concurrent Review Utilization Review Discharge Planning Authorizations (TARS) Case Management from Admission to Discharge Requirements: California Nursing License (RN) 2+ Years of Inpatient Case Management Experience InterQual and/or Milliman criteria experience a plus Knowledge of: DRG and ICD-9 and CPT coding, requi...
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Healthcare is changing rapidly, and as a member of this organization you will not be left behind. Quality of patient care and census growth of of course important, but this company has its eyes on the bigger picture. Integrating multiple layers of care into a continuum of care model should position this organization at the forefront of palliative care. As a Team Leader, you and three other colleag...
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Hospital, Inpatient RN Case Manager / Care Coordinator Full Time - 40 Hours Per Week; 8 Hours per day The Job: Concurrent Review Utilization Review Discharge Planning Authorizations (TARS) Case Management from Admission to Discharge Ability to: Provide concurrent review and analysis of inpatient records to determine if the patient's admission and continued acute stay flags any quality indicators. ...
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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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Proven ability to read and interpret medical record data for chart audits or abstractions Ability to track patients and generate reports for CMS and Administration Strong Auditing Skills, ICD-9 Coding Microsoft applications: Outlook, Word, Excel Ability to navigate a database Excellent written and oral communication skills Excellent organizational and multi-tasking skills Knowledgeable of: Title 2...
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As a manager, you've already had a successful career. You've worked your way up through the nursing ladder, always honing your clinical skills and striving for quality care. Now you're a leader, and are showing others how to follow in your footsteps. That's why we want you. The hospice organization we're representing is established. They have multiple sites across Southern California, and have gar...
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As a manager, you've already had a successful career. You've worked your way up through the nursing ladder, always honing your clinical skills and striving for quality care. Now you're a leader, and are showing others how to follow in your footsteps. That's why we want you. The hospice organization we're representing is established. They have multiple sites across Southern California, and have gar...
full job description