Registered Nurse (RN), UR Case Manager, Hospital
Location: Beverly Hills California
Description: Managed Care Resources (MCR) is in need of Registered Nurse (RN), UR Case Manager, Hospital right now, this job will be placed in California. For complete informations about this job opportunity please read the description below. Hospital - Case Manager, UR Registered Nurse (RN) Full Time, 40 Hours Per Week
About the Job:
Concurrent review and! analysis of inpatient records to determine if the patient's admission and continued hospital stay triggers any pre-defined quality indicators. 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. Coordinate chart reviews for quality reports and clinical procedures
Requirements: California Nursing License (RN)
At Least Two Years of Recent Acute Case Management Experience Knowledge of: DRG and ICD-9 and CPT coding, requirements for prior approval. Available community resources. Local referral network JCAHO Standards and Title XXII Regulations InterQual or Milliman criteria experience a plus
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 ser! vicing 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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If you were eligible to this job, please email us your resume, with salary requirements and a resume to Managed Care Resources (MCR).
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This job starts available on: Fri, 07 Jun 2013 00:15:20 GMT