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Concurrent Review Case Manager...

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Job Summary

Company
Managed Care Resources (MCR)
Location
Culver City, CA
Industries
Insurance
Healthcare Services
Job Type
Full Time
Employee
Years of Experience
2+ to 5 Years
Education Level
Associate Degree
Career Level
Experienced (Non-Manager)
Contact Information
Managed Care Resources (MCR)
Phone:  310-470-4232
Fax:  310-475-4737

Concurrent Review Case Manager - Registered Nurse (RN)

About the Job

  1. Case Manager, Inpatient (Concurrent Review)
  2. Monday - Friday; 8/hr/day


About the Job:

  • Utilization Review, Concurrent Review, Discharge Planning, Transfers
  • Level of Care and length of stay reviews (SI / IS)
  • Reviews, verifies and processes requests for referrals, inpatient and outpatient procedures, home health services, DME
  • Strong problem solving and organizational skills


Knowledgeable of:

  1. DRG and ICD-9, CPT coding
  2. Guidelines and regulations relevant to Case Management and/or Utilization Management.
  3. Principles and practices of Health Care, Health Care Systems, and Medical Administration.
  4. InterQual and/or Milliman Familiar

Requirements:
  1. California Nursing License (RN)
  2. At Least Two Years ​Inpatient CM, UM, UR Experience


About the Agency:

Managed Care Resources, Making Careers is a Health Care Staffing Agency in the niche fields of Case Management, Utilization Management / Review, Quality Management / Assurance and Performance Improvement. MCR, Making Careers has been servicing the State of California since 1987 providing Medical Professionals to Hospitals, Medical Groups, IPAs, Health Plans, Healthcare Foundations, Home Health Departments, Medical Offices, Managed Care and Insurance Companies in search of both Permanent and Temporary Staff. Call: (310)-470-4232 or (800)-350-1471 for more information!

 

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