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Registered Nurse (RN) - Utilization Review (UR) - Case Manager
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Job Description

About the Job:

  • 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.
  • Interfaces with other members of the quality management health team to promote quality cost effective Utilization Review and Claims auditing of medical records to determine medical necessity / ongoing case management

Job Requirements

  • RN California Nursing license
  • Excellent Written and Oral Communication Skills
  • Excellent Interpersonal Skills
  • Strong Organization Skills
  • Ability to meet deadlines in a high pressure, time sensitive environment



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 2 Year Degree
Experience At least 2 year(s)
Manages Others No
Industry Managed Care, Healthcare - Health Services, Insurance
Required Travel None
Job ID 05A*
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Registered Nurse (RN) - Utilization Review (UR) - Case Manager


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