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UR and Discharge Planning - Case Manager - Registered Nurse (RN)

Managed Care Resources
Location: CA - Downey Job Type: Health Care
Base Pay: N/A Required Education: 2 Year Degree
Bonus: Required Experience: At least 2 year(s)
Other: Required Travel: None
Employee Type: Full-Time Relocation Covered: No
Industry Managed Care, Healthcare - Health Services

Job ID: 30A*

RN Case Manager - Hospital - 8 Hour Shifts

About the Job:
  • Responsible for assessing, planning, implementing, and evaluating the needs of patients for discharge planning and utilization review.
  • Concurrent Review, Utilization Review, Discharge Planning
  • Using InterQual or Milliman criteria for medical necessity to determine if the patient is in the correct hospital setting and continued stay meets guidelines (S/I and I/S)
  • Level of care and length of care reviews
  • 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


  1. California Nursing License (RN)

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!