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Managed Care Resources MCR Jobs in Whittier

21 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...
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 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...
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...
Registered Nurse - Case Manager (1 Month Assignment) We are seeking an experienced Outpatient Case Manager for a small Health Plan. This is a one month position that is covering a leave of absence. It's perfect if you're semi-retired, in-between jobs, or just looking for something short-term. You will be assisting with the development, implementation and evaluation of a service care plan. You...
LVN Case Manager A great hospital in San Gabriel is looking for an experienced LVN Case Manager. The right Nurse has previous inpatient experience and has managed patients in a fast paced environment. You will actively monitor and manage the utilization of healthcare resources for each member along the care continuum, and ensures that the optimum quality of care is provided. This position is M...
LVN Case Manager - Hospital (1 Month Assignment) A great hospital in the Alhambra area is looking for an experienced LVN Case Manager. We are looking for a Licensed Vocational Nurse with previous inpatient experience. You will be managing patients in a fast paced environment. You will actively monitor and manage the utilization of healthcare resources for each member along the care continuum, ...
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 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...
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...
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...
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...