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Medical Group - Concurrent Review (UR) Nurse - RN, LVN
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Job Description

Concurrent Review Nurse (Inpatient) - Medical Office (Desk job) - 40 hours per week

About the Job:

  1. Coordination of inpatient admissions, management of entire stay with IPA and health care team 
  2. Coordinate directly with the department of inpatient admissions, discharges and transfers as appropriate
  3. Facilitation of movement of the patient through the continuum of care  
  4. Communication with pcp to transition care from acute to ambulatory setting 
  5. Cost-effective resource utilization and timely movement of patient through the continuum of care 
  6. Conduct and enter daily concurrent review, maintaining an accurate daily census report, usage of Milliman Guidelines 
  7. Identification of eligibility and health plan benefits

 

Job Requirements

  • CA Nursing License (LVN or 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!

Job Snapshot

Employment Type Full-Time
Job Type Health Care, Nurse, Insurance
Education None
Experience At least 2 year(s)
Manages Others No
Relocation No
Industry Healthcare - Health Services, Managed Care, Insurance
Required Travel None
Job ID 19A*
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Medical Group - Concurrent Review (UR) Nurse - RN, LVN


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