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Showing 1-20 of 675

Milliman jobs

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Beacon Health System-South Bend, INEst. salary:$79,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Demonstrates a working knowledge and ability to operationalize the requirements of Milliman and Interqual care guidelines within the department....

ST CATHERINE HOSPITAL-Colorado Springs, COEst. salary:$51,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Assumes leadership role to assist in improving the overall quality and completeness of physician clinical documentation by performing admission and continued...

Aetna-Las Vegas, NVEst. salary:$50,000 - $65,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Experience and knowledge required in clinical guidelines, systems/tools i.e., Milliman, Interqual is required....

Aetna-Roanoke, VAEst. salary:$54,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Experience and knowledge required in clinical guidelines, systems/tools i.e., Milliman, Interqual, Knowledge of provider networks and delivery, ability to...

Florida Hospital-Orlando, FLEst. salary:$57,000 - $74,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Description: Utilization Management Nurse – Nursing Department - Maitland Maitland seeks to hire Utilization Management Nurse who will embrace our mission

Brown & Toland Physicians-Oakland, CAEst. salary:$66,000 - $93,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Basic computer skills including MS Word, Excel, Electronic Health Records, Interqual, CERME or Milliman. ESSENTIAL JOB FUNCTIONS:....

Medical Staffing Network-Chula Vista, CASalary:$750 a week

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Identify and coordinate resources to assist member’s transition from a nursing facility back to living in the community and live as independently as possible.

Aspire Health Plan-Monterey, CAEst. salary:$70,000 - $97,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Working knowledge of either InterQual or Milliman Guidelines and the ability to use one or both. Purpose of Position:....

Southern New Hampshire Medical Center-Nashua, NHEst. salary:$47,000 - $62,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Experience in use of Interqual, Milliman and other Healthcare acute criteria. For more than 100 years, Southern New Hampshire Medical Center has honored our...

Corizon Health-Brentwood, TN

Experience with InterQual and/or Milliman Care guidelines preferred. Corizon Health has an exceptional opportunity for a Utilization Management Nurse Review...

TalentCare LLC-South San Francisco, CAEst. salary:$75,000 - $97,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful....

Quest Products, Inc.-Pleasant Prairie, WIEst. salary:$50,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Please submit your resume to Ron / Mark Milliman if you are interested in applying for this position. Operations / Purchasing Manager....

Innovative Care Management, Inc.-Milwaukie, OREst. salary:$58,000 - $79,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Experience with MCG (formerly Milliman Care Guidelines). Innovative Care Management, Inc....

Florida Hospital-Orlando, FLEst. salary:$57,000 - $75,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Description: Utilization Management Nurse – Nursing Department - Maitland Maitland seeks to hire Utilization Management Nurse who will embrace our mission

River City Medical Group-Sacramento, CAEst. salary:$72,000 - $99,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Performs concurrent review (possibly onsite) for inpatient and/or outpatient and case management to ensure appropriateness of admission, continued inpatient...

Consolidated Health Plans.-Springfield, MAEst. salary:$87,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

UM Nurse Manager Summary: Create, build and maintain a comprehensive UM program utilizing vendors, tools and internal and external resources. Drive positive

Physicians of Southwest Washington-Olympia, WAEst. salary:$47,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Knowledge of Interqual and/or Milliman Utilization Criteria. The Nurse Case Manager (RN or LPN) acts in a non caregiver capacity by facilitating coordination...

MedPartners Case Management & Quality Care Division-Palm Springs, CAEst. salary:$68,000 - $93,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Application of InterQual and/or Milliman Criteria:. MedPartners Quality Care division specializes in providing *Acute Care Hospitals and Health Systems with...

NJM Insurance Group-West Trenton, NJEst. salary:$63,000 - $83,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Previous knowledge of Interqual/ Milliman/ ODG Guidelines. Nurse Case Manager (RN) - Workers Comp....

Healthcare Scouts-Maitland, FLEst. salary:$92,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Experience with care criteria such as Milliman (MCG), InterQual, or similar medical management systems. HealthCare Scouts, Inc....


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