Blue Cross Blue Shield of IL, MT, NM, OK & TX - Chicago, IL 3.9

Knowledge of Milliman Guidelines or similar clinical guidelines. **After training period, this will be a work from home position***....

Estimated: $71,000 - $100,000 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.

Signature Performance, Inc - Marysville, CA 3.3

Knowledge, skills and computer literacy to interpret and apply medical care criteria, such as InterQual or Milliman Ambulatory Care Guidelines....

Estimated: $40,000 - $58,000 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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Christus Health - Houston, TX 3.8

Able to apply InterQual and Milliman Care Guidelines (MCG) medical necessity criteria as applicable. The Clinical Appeals Nurse will review each case identified...

Estimated: $60,000 - $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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UW Medicine - Northwest Hospital & Medical Center - Seattle, WA 3.6

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

Estimated: $59,000 - $86,000 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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EXL - Tampa, FL 3.8

Experienced skill level working in Milliman Care Guidelines (MCG), CMS and ASAM clinical criteria sets, and the regulations surrounding the application thereof....

Estimated: $55,000 - $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.

McBee - Portland, OR 

Knowledge of InterQual and/or Milliman criteria is required. The Utilization Review Nurse position requires concurrent review of emergency department admissions...

Estimated: $72,000 - $93,000 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.

McBee - Wayne, PA 

Knowledge of InterQual and/or Milliman criteria required. Utilization Review experience and knowledge of InterQual and/or Milliman criteria is required....

Estimated: $62,000 - $79,000 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.

Humana - Washington, DC 3.7

Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical...

Estimated: $58,000 - $79,000 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.

Magellan Health - Orlando, FL 3.6

Experience applying medical management treatment guidelines, such as InterQual / McKesson, Milliman, or other practical management guidelines required....

Estimated: $100,000 - $140,000 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.

Premier Health - Dayton, OH 3.4

Knowledge of InterQual, Milliman, and 3rd party insurance requirements required. The CSI Clinical Analyst is a registered professional nurse with knowledge and...

Estimated: $61,000 - $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.

Provider Resources Inc - United States 4.1

One year or more of utilizing InterQual and/or Milliman guidelines against inpatient services experience is preferred. Medical Review Nurse....

Estimated: $59,000 - $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.

Humana - Texas 3.7

Description The Telephonic Acute UM Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services...

Estimated: $64,000 - $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.

Provider Resources Inc - United States 4.1

One year or more of utilizing InterQual and/or Milliman guidelines is preferred. Reporting to the Medical Review Manager, the Medical Review Nurse (MRN) will...

Estimated: $65,000 - $88,000 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 - New York, NY 3.7

The NY Health practice of Milliman provides consulting services to a broad array of clients in the healthcare field....

Estimated: $56,000 - $71,000 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.

naviHealth - Arkansas +3 locations3.3

Knowledgeable of CMS guidelines and Milliman a plus. NaviHealth is the result of over a decade of dedicated visionary leaders and innovative organizations...

Estimated: $80,000 - $99,000 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.

XSolis - Nashville, TN 

Experience in utilizing Interqual and/or Milliman guidelines no less than 2 years. XSOLIS is a growing and innovative healthcare organization based in Nashville...

Estimated: $54,000 - $77,000 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.

Landmark Health - Kansas City, MO 3.1

Experience dealing with UM standards, NCQA requirements, CMS guidelines, Milliman guidelines; Do you want to make a difference in healthcare?...

Estimated: $88,000 - $130,000 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.

eviCore healthcare - Franklin, TN 3.2

Summary The Registered Nurse or Licensed Practical Nurse will be responsible for performing Prior Authorization Reviews for our Customers of Durable Medical...

Estimated: $38,000 - $53,000 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 - Appleton, WI 3.7

MicroInsurance Centre at Milliman. About MicroInsurance Centre at Milliman:. The MicroInsurance Centre at Milliman (MIC@M) is a specialized unit of Milliman...

Estimated: $63,000 - $91,000 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.

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX +1 location3.9

Knowledge of Milliman Guidelines or similar clinical guidelines. This position will be responsible for focusing on the overall health of the member by assisting...

Estimated: $51,000 - $71,000 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.

Humana - Washington, DC 3.7

Knowledge of Milliman or Interqual. The Telephonic Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve...

Estimated: $54,000 - $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.

Prime Healthcare - Denville, NJ 3.6

Knowledge of Milliman Criteria and InterQual Criteria preferred. Responsible for the quality and resource management of all patients that are admitted to the...

Estimated: $60,000 - $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.

CoreSource - United States 3.6

Milliman Care Guideline (MCG) experience or InterQual experience. For more than four decades, CoreSource has crafted integrated, flexible, and tailored employer...

Estimated: $32,000 - $45,000 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.

Christus Health - San Antonio, TX 3.8

Familiarity with InterQual, Milliman, Meditech, and Midas preferred. This position promotes effective and efficient use of resources for both the patient and...

Estimated: $51,000 - $65,000 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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HCTec - Los Angeles, CA 4.1

InterQual or Milliman:. HCTec is hiring Hospital Case Managers for full-time positions....

Estimated: $57,000 - $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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UCHealth - Aurora, CO 3.9

Assists departmental staff with issues related to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification,...

Estimated: $49,000 - $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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