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Managed Care Resources MCR Jobs in Long Beach

17 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 ...
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...
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...
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...
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...
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 - Case Manager Our 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 with a working understanding of I...
Health Care Startup is seeking a California licensed Nurse to help with their increasing work load. Nurse must be experienced in Worker's Compensation Case Management, Utilization Review, and Bill Review. Responsible for the oversight and management of Worker's Comp cases as they progress through the program process. Interactions with: clients, claims examiner, transport services, physicians, c...
Los Angeles based Medical Group is seeking an experienced Worker's Comp Nurse Case Manager. Arranges transfer of patients to contract facilities as delegated by the the treating physician and ancillary contracts dictate. Coordinates provisions for Outpatient Management by referring patients to the appropriate source. Ensures appropriate utilization of medical services within the parameters of t...
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...
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...
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...
Registered Nurse Case Manager We are seeking Registered Nurses with Case Management experience. Whether it's in the Hospital, Manage Care, Medical Group, IPA, or Hospice setting, we are interested in speaking to you about your career and where you want it to go. We have been placing Case Managers in Southern California for the last 30 years! Call us Today! (310) 470-4232 Case Manager Impatien...
Utilization Review (UR) Registered Nurse We are currently seeking out experienced Registered Nurses with experience in Utilization Review. These Nurses will be perform UR in the Hospital and Manage Care settings. You should be familiar and well versed in the assessment of medical records for appropriateness and the level of care provided. Other responsibilities include: assessing utilization o...
Registered Nurse - Discharge Planner A renowned Los Angeles area Hospital is seeking out an experienced Discharge Planner. Previous Acute experience is necessary, as well as familiarity with the Los Angeles County referral system. This position is pivotal and helping transition patients from the Hospital into their next level of care. You must be able to communicate with team members and physi...