CNHS - Orange, CA

Experience using Milliman or InterQual criteria for medical necessity, setting and level of care, and concurrent patient management....

$19 - $21 an hour

Homestead Hospital - Homestead, FL4.6

Knowledge of reimbursement principles, discharge planning process, InterQual and/or Milliman criteria. Collaborates with all members of the health care delivery...

Estimated: $53,000 - $72,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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Southern New Hampshire Medical Center - Nashua, NH3.7

Experience in use of Interqual, Milliman or other Healthcare acute criteria. Patient & Family Services....

Estimated: $52,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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UW Medicine - Northwest Hospital & Medical Center - Seattle, WA3.6

Knowledge of medical screening criteria Interqual or Milliman preferred. Join our award-winning team at UW Medicine - Northwest Hospital & Medical Center....

Estimated: $61,000 - $83,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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SUNY Downstate Medical Center - Brooklyn, NY3.9

The Case Manager will report to the Supervisor of Case Management and provide critical assistance in discharge planning activities as well as provide clinical...

$31,000 - $65,000 a year

Milliman - Denver, CO3.8

The Denver, CO Employee Benefits practice of Milliman provides consulting services to a broad array of retirement plan sponsors....

Estimated: $46,000 - $62,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Santa Clara Family Health Plan - Campbell, CA4

FLSA Status: Non-Exempt Department: Health Services Reports To: Health Services Management Salary: $36.85 - $55.27 Employee Unit: Employees in this...

$37 - $55 an hour

UnitedHealth Group - Las Vegas, NV3.6

Milliman, Interqual etc.). You're looking for something bigger for your career....

Prebill Denial - Atlanta - Norcross, GA

Experience with Milliman (MCG) or InterQual. Virtual Utilization Management Registered Nurse (Utilization Management Experience Required)(Job Number:....

Managed Resources - Remote, OR3.8

Strong knowledge and experience with InterQual and Milliman standards. Full Time, Exempt, Remote Clinical Appeals Manager*....

Estimated: $68,000 - $96,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Johns Hopkins Health Care - Glen Burnie, MD4

Proficiency using InterQual and/or Milliman criteria. Inpatient Utilization Review RN....

Estimated: $65,000 - $90,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Milliman - Vienna, VA3.8

JOB RESPONSIBILITIES Answer and direct all external and internal calls in a professional manner Greet and assist guests Ensure all visitors and guests sign...

Estimated: $25,000 - $32,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Aetna - Sunrise, FL3.8

Uses Aetna Systems such as QNXT, ProFAX, ProPAT, and Milliman Criteria. Supports comprehensive coordination of medical services including intake, screening and...

Estimated: $26,000 - $36,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Milliman - Brookfield, WI3.8

Milliman's health IT consulting group is looking for a driven, entrepreneurial, and self-learning data analyst to join their team. Analysts typically have...

Estimated: $59,000 - $80,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Milliman - Indianapolis, IN3.8

The health care consulting practice located in the Indianapolis office of Milliman provides health consulting services to a broad array of clients in the...

Estimated: $54,000 - $75,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Santa Clara Family Health Plan - Campbell, CA4

FLSA Status: Non-Exempt Department: Health Services Reports To: Health Services Management Salary: $27.86 - $41.79 Employee Unit: Employees in this...

$28 - $42 an hour

Cook County Health & Hospitals System - Chicago, IL3.8

Uses all available information sources to support care coordination activities-this may include portals, electronic medical records, claims data, plan...

$32 an hour

DeLoof, Dever, Wright & Milliman, PLLC - Ann Arbor, MI

Downtown Ann Arbor Insurance Defense Litigation - 30 hours per week. Applicant must be highly organized, with strong knowledge of legal procedures, motion...

Estimated: $38,000 - $50,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

University of Illinois at Chicago - Chicago, IL4.2

Original Posting Date 6/1/2018 Duties: RN Duties 1. Facilitates coordination of patient services in assigned patient care unit, or department. 2....

Estimated: $60,000 - $90,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Milliman - Brookfield, WI3.8

Travel expenses for applicants and relocation expenses for applicant offered the position will not be paid by Milliman....

$38,000 - $40,000 a year

Network Medical Management - Alhambra, CA3.4

100% compliance in applying Milliman Care Guidelines criteria for admission and continued stay in acute care setting....

Estimated: $51,000 - $72,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Houston Methodist - Houston, TX4.2

Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance using InterQual Hospital...

Estimated: $69,000 - $89,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Henry Ford Health System - Southfield, MI3.9

Demonstrated knowledge of the InterQual® or Milliman Care Guidelines® criteria. Responsible for investigating Provider Appeal requests and Code Review inquiries...

Estimated: $58,000 - $81,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Southern New Hampshire Medical Center - Nashua, NH3.7

Experience in use of Interqual, Milliman or other Healthcare acute criteria desired. Patient & Family Services....

Estimated: $32,000 - $43,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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Beacon Health System - South Bend, IN3.5

Ability to operationalize the requirements of Milliman and Interqual care guidelines within the department. Reports to the Chief Financial Officer....

Estimated: $85,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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LOWER BUCKS HOSPITAL - Bristol, PA3.7

Knowledge of Milliman Criteria and InterQual Criteria preferred. The Director of Case Management is responsible for the development of staff and systems to...

Estimated: $87,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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