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Showing 1-20 of 720
Milliman jobs

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Pella Regional Health Center-Iowa

Uses current utilization review practices, Milliman criteria and appropriate clinical judgment to support the team and coordinate care for discharge planning,...

CENTURA SUPPORT-Littleton, CO

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

PRIMARY PROVIDER MANAGEMENT COMPANY, INC.-Fresno, CA

Familiarity with Milliman CG. The Inpatient Case Management Nurse is responsible to follow the member while in the acute care setting or SNF until discharged....

Brown & Toland Physicians-Oakland, CA

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

ST CATHERINE HOSPITAL-Colorado Springs, CO

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

PRIMARY PROVIDER MANAGEMENT COMPANY, INC.-Fresno, CA

Familiarity with Milliman CG. The Ambulatory Case Manager is assigned to members who require a high level coordination due to complexity of their illness, home...

Healthcare Scouts-Richmond, VA

HealthCare Scouts, Inc. Is partnered with an industry leader in managed care services, seeking a Utilization Review Nurse (LVN or LPN) to join their team! By...

Innovative Care Management, Inc.-Milwaukie, OR

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

Florida Hospital-Orlando, FL

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

Sheridan Memorial Hospital-Sheridan, WY

3-5 years Milliman or InterQual experience, preferred. The performance of the Utilization Review function on all patients presenting for hospitalization to...

Community Health Group-Chula Vista, CA

Ideal candidate will plan, facilitate, and complete post-discharge activity to assist member’s transition from an acute care hospital back to living in the

NYU Hospitals Center-New York, NY

Conducts accurate reviews using CMS, Milliman Care Guidelines and the patients chart as the primary source of information....

VISITING NURSE SERVICE OF NEW YORK-Brooklyn, NY

Knowledge of Milliman criteria (MCG) preferred. Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system....

Hudson View Network-Kearny, NJ

Internal Case Manager Kearny, NJ A beautiful, privately owned skilled nursing facility located near Kearny, NJ is looking for an *Internal Case

Landmark Health-South San Francisco, CA

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

Integrated Home Care Services, Inc.-Miramar, FL

Uses available resources and guidelines (including but not limited to Health Plan contractual arrangements, Medicare, Medicaid, Milliman guidelines) and other...

NYU Hospitals Center-New York, NY

Conducts accurate reviews using CMS, Milliman Care Guidelines and the patients chart as the primary source of information....

BMMS-Albany, NY

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


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