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Managed Care Resources MCR Jobs in California

28 jobs

Registered Nurse Hospice Coordinator This position requires strong hospice and home health knowledge, as well as a very detail oriented Registered Nurse. You will be working with the clinical supervisors to provide statistical analysis of results and supporting action plans for improvement. Some of your duties and responsibilities will include: chart auditing, orientation of new staff, hospice ...
Registered Nurse Quality Coordinator This position requires strong hospice and home health knowledge, as well as a very detail oriented Registered Nurse. You will be working with the clinical supervisors to provide statistical analysis of results and supporting action plans for improvement. Some of your duties and responsibilities will include: chart auditing, orientation of new staff, hospice ...
Telephonic Triage / Advice Nurse A top level Los Angeles based medical organization is seeking out a Triage Nurse. This position requires a Registered Nurse with previous experience in telephonic triage or experience as a telephonic advice nurse. You will be responsible for implementing a plan of care and help to educate your patients. You will direct patients to the appropriate levels of care...
Registered Nurse for Manage Care Company A Manage Care company in Orange County is looking to hire an experienced Registered Nurse for their Pediatrics department. You will be responsible for directing and coordinating the delivery of health care services and ensuring the high quality care of pediatric patients and their families. You will be coordinating patient care with ancillary clinical de...
Prior Authorization - Registered Nurse A rapdily growing Manage Care company is looking to add an Prior Authorization Nurse. 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 Crea...
Successful niche staffing firm in West Los Angeles is looking for a new member to join our team. Managed Care Resources has been recruiting and placing healthcare professionals for over 30 years. We are considered a leader in the specialty healthcare arena for clients and candidates. We are looking for an recent graduate or someone who is looking to learn a new skill set, recruiting. If you enjoy...
Worker's Comp Nurse Case Manager- RN or LVN We are in need of a Worker’s Comp Nurse Case Manager for a Los Angeles based Medical Group. This is an onsite position. This position requires a computer savvy nurse with previous experience in Worker’s Comp Care Management. This is a great opportunity to break-in with a wonderful company. Case Manager Impatient Utilization Review Utilization Manage...
Registered Nurse – Core Measures Renowned hospital in the San Fernando Valley is searching for an experienced Registered Nurse that is fully trained in abstraction of Core Measures. This is a consulting position for an anticipated 3-4 month project. Someone familiar with Premier Program and Cerner electronic medical records, is preferred. You will need to be technologically savvy and have a gr...
Worker's Comp Nurse Case Manager- Licensed Vocational Nurse We are in need of a Worker’s Comp Nurse Case Manager for a Los Angeles based Medical Group. This is an onsite position that requires clinic visits. All clinics are all within 1-4 mile radius. This position requires a computer savvy nurse with previous experience in Worker’s Comp Care Management. Case Manager Impatient Utilization Revi...
Worker's Comp Nurse Case Manager- RN or LVN We are in need of a Worker’s Comp Nurse Case Manager for a Los Angeles based Medical Group. This is an onsite position that requires clinic visits. All clinics are all within 1-4 mile radius. This position requires a computer savvy nurse with previous experience in Worker’s Comp Care Management. Case Manager Impatient Utilization Review Utilization M...
Case Manager for Manage Care Company A San Fernando Valley based Manage Care company has an immediate need to add an Ambulatory Case Manager to their staff. We are looking for an RN with previous case management experience. You will be working cooperatively with the primary physician, health care team and patient in providing coordination of care to those patients with complex, high risk condit...
Registered Nurse – Core Measures Renowned hospital in the San Fernando Valley is searching for an experienced Registered Nurse. This position requires a Nurse that is fully trained in abstraction of Core Measures. Someone familiar with Premier Program and Cerner electronic medical records, is preferred. You will need to be technologically savvy and have a great eye for detail. Apply Now! Cas...
RN Pediatrics Nurse -A rapidly expanding Manage Care company is looking for an Registered Nurse with Pediatric experience. -You will be interacting with patients, families, physicians, and care teams. -This is an office desk job, Monday - Friday, 40 hours per week. -This is a great way to break-in with a renowned company. -Salary is dependent on experience. -CCS experience is a plus. Case M...
Registered Nurse Outpatient Case Manager We are seeking an experienced Outpatient Case Manager for a Los Angeles Medical Facility. You will be assisting with the development, implementation and evaluation of a service care plan. You will be maintaining a role as client liaison while fostering independence and decision making on the part of the client. You will educate and counsel patients conc...
RN Pediatrics Nurse Case Manager -A rapidly expanding Manage Care company is looking for an RN Case Manager w/ Pediatric experience. -This position is best suited for an Registered Nurse with Case Management experience. -It is an office desk job, Monday - Friday, 40 hours per week. -This is a great way to break-in with a renowned company. -Salary is dependent on experience. -CCS experience i...
Registered Nurse - Break Into Case Management Managed Care Resources needs a talented Registered Nurse, who is looking to gain experience in Case Management and Utilization Review. We are looking for an energetic nurse that has a passion for patient care and a desire to break into this rapidly growing field. We have a client that is willing to train a Nurse in Case Management. This is an opport...
Registered Nurse - Case Manager Our client, an extremely reputable client in the greater Los Angeles area, is currently looking for a Hospital Case Manager to fill an immediate need. This is a long term (or temp to perm for right candidate)position for those interested. Successful Registered Nurse Case Manager candidates will need to have at least two (2) years of working in an acute setting wit...
Medical Office Clerk A fast paced medical office in the Baldwin Park area is looking for a Clerk to assist in their office. You need to be computer savvy and a quick learner that can work independently. You will be communicating and interacting with patients, clinicians, and physicians, telephonically. The shift is 8:30-5:00 and rotating week-ends/holidays. _cc_ xw120143965wx _cn_ Managed Care...
Utilization Review Nurse - Registered Nurse Area Hospital seeking Utilization Review Nurse. Utilization Review including assessment of medical records for appropriateness, level of care provided. Assess utilization of treatment, modalities, medications, services and application of treatment protocols. Interfaces with other members of the quality management health team to promote quality cost e...
Registered Nurse - Quality Improvement A large home health company is looking for a talented nurse to join their team. The right nurse has extensive home health experience, as well as a strong clinical background in nursing. You will be be conducting Hospice and Palliative Audits. This requires a computer savvy nurse that has excellent documentation skills. Previous Quality is experience is n...