Employee Type
:
Full-Time
Industry
:
Managed Care
Healthcare - Health Services
Insurance
Job Type
:
Health Care
Nurse
Insurance
Education
:
2 Year Degree
Experience
:
At least 3 year(s)
Contact Information
- Hospital, Inpatient
- RN Case Manager
- 8 Hours/Day
About the Job:
- Concurrent Review
- Utilization Review
- Discharge Planning
- TARS
- InterQual or Milliman Familiar a Plus
Ability to:
- Admitting new patients by reviewing records and applications
- Establishes treatment programs; coordinating services being provided
- Monitors cases by observing and evaluating treatments and responses
- Identify potential quality issues, delays in service, post-acute care needs
- Working knowledge of reimbursement related to Medicare, Medi-Cal & Managed Care.
- California Nursing License (RN)
- 3+ Years of Case Management 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!