Case Manager (Acute) - Registered Nurse (RN) Managed Care Resources Los Angeles, CA 10/21/2014 Save Job Sign in Now Email Print Report Apply Now Job Description RN Case Manager - Medical Center - 40 hours per week About the Job: Responsible for assessing, planning, implementing, and evaluating the needs of patients for discharge planning and utilization review. Level of Care, Length of Stay, Continued Stay Reviews Coordinate utilization management, care facilitation, and discharge planning Coordinate discharge planning with physicians, nursing, and social services, patient and significant others. Review patient procedures and DRG status against criteria for Medicare, Medi-Cal, and other insurance coverage. Perform chart reviews and quality assessments on all patients and using severity of illness(SI) and intensity of service (IS) InterQual criteria Precertification and Prior Authorization. Job Requirements Registered Nurse (RN) CA 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! Job Snapshot Employment Type Full-Time Job Type Nurse, Health Care, Insurance Education 2 Year Degree Experience At least 2 year(s) Manages Others No Relocation No Industry Healthcare - Health Services, Managed Care, Insurance Required Travel None Job ID 10A* Apply Now SIMILAR JOBS Registered Nurse (RN) - Utilization Review Managed Care Resources RN Case Managers ( full time and per diem) Centinela Hospital Medical Center RN-Registered Nurse Care Review Clinician III-Managed Care Case Manager, RN Full Time - Kindred Hospital - San Gabriel Valley Kindred Healthcare Registered Nurse (RN) Field Case Manager HealthCare Scouts, Inc.