Provider Resources Inc - United States 4

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: $66,000 - $87,000 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.

Allied Global Services - Kansas City, MO 3.8

Experience with Milliman (MCG) or InterQual guidelines. One of the largest Health Plan organizations in the U.S.!...

$95,000 - $100,000 a yearSponsored

Aetna - Kenner, LA 3.8

Please note: Telework is considered for candidates outside of the Baton Rouge/New Orleans area POSITION SUMMARY The UM Clinical Consultant - ABA applies...

Estimated: $53,000 - $73,000 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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St. Joseph Hospital Orange - Orange, CA 4

Proficiency in Milliman Care Guidelines. Joseph Hospital of Orange, providing compassionate care to patients and their families is a sacred responsibility....

Sponsored

Allied Global Services - Kansas City, MO 3.8

Experience with Milliman (MCG) or InterQual guidelines. One of the largest Health Plan organizations in the U.S.!...

$95,000 - $100,000 a year

Centegra Health System - Woodstock, IL 3.4

The PES Navigator supports the overall PES/Crisis program implementation by coordinating and expediting patient access to behavioral health and substance use...

Estimated: $47,000 - $64,000 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, IN 3.8

Milliman offers a high-performance but relatively casual work environment in Indianapolis. The Indianapolis, Indiana office of Milliman, an international firm...

Estimated: $59,000 - $82,000 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.

AmeriHealth Caritas - Philadelphia, PA 3.4

Applies submitted information to Plan authorization process (utilizing Milliman, USA, Interqual medical guidelines, Process Standards, Policies and Procedures,...

Estimated: $74,000 - $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.

The University of Vermont Medical Center - Burlington, VT 4.3

Familiarity with Medical Necessity (InterQual or Milliman) criteria is preferred. UVM Medical Center - Main Campus....

$17 - $25 an hour

Franciscan Health - Indianapolis, IN 3.5

Integrated Case Management Franciscan Health 8111 South Emerson Avenue Indianapolis, IN 46237 View on Map Get Directions Full-Time; 40 Hrs/Wk Days;...

Estimated: $53,000 - $78,000 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.

AmeriHealth Caritas - Harrisburg, PA 3.4

Applies AHC authorization process (InterQual Medical Guidelines, Milliman USA, process standards, policies and procedures, and standard operating procedures) to...

Estimated: $52,000 - $76,000 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 - Seattle, WA 3.8

Responsibilities: General legal/administrative assistance including: word processing (including converting PDFs into functional Word documents and performing...

Estimated: $37,000 - $52,000 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.

Anthem, Inc. - United States 3.8

Requires current active unrestricted RN license to practice as a health professional in state of residenceMinimum of 3 years acute care clinical experience...

Estimated: $64,000 - $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.

Cook County Health & Hospitals System - Chicago, IL 3.8

Successful completion of a Milliman Care Guidelines (MCG) Certification exam within 12 months of employment (Upon hire, the department will maintain...

Estimated: $43,000 - $59,000 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, TX 4.2

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

Estimated: $66,000 - $95,000 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.

Discharge Resource Group - San Francisco, CA 

Milliman Care Guideline experience required. Experienced Utilization Management:....

$100,000 - $120,000 a year

Milliman - St. Louis, MO 3.8

Be an internal resource to account managers/client executives and other Milliman practices and consulting teams, to support opportunity identification and cross...

Estimated: $60,000 - $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.

Santa Clara Family Health Plan - San Jose, CA 4

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

Milliman - Dallas, TX 3.8

Milliman employs more than 3,400 people working in employee benefits, healthcare, life insurance/financial services, and property and casualty insurance....

Estimated: $30,000 - $38,000 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.

MemorialCare Medical Foundation - Fountain Valley, CA 4

Utilization Review Nurse( (8Hour)Outpatient Utilization Mgmt (FT Day) - (MEM002836) Description Job Duties:1. Collect case specific and health plan specific...

Estimated: $62,000 - $87,000 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.

Mount Carmel Health - Columbus, OH 3.6

Develops and maintains financial contracts with Executive Health resources, Milliman, White Stone and Interqual for utilization management support....

Estimated: $74,000 - $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.

Fidelis Care - Buffalo, NY 3.2

The Utilization Management clinician makes coverage decisions based on specific criteria including Milliman. Utilization Review Nurse....

Estimated: $64,000 - $92,000 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.

UnitedHealth Group - Albany, NY +1 location3.6

Working knowledge of Milliman and / or InterQual. Are you ready for your next challenge?...

Mercy - Springfield, MO 3.2

Overview We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. We don...

Sponsored

AmeriHealth Caritas - Harrisburg, PA 3.4

Applies AHC authorization process (InterQual Medical Guidelines, Milliman USA, process standards, policies and procedures, and standard operating procedures) to...

Estimated: $52,000 - $76,000 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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Cook Children's Health Care System - Fort Worth, TX 4.2

The RN Case Manager uses a collaborative process to plan, assess, implement, monitor and evaluate the options and services required to meet the healthcare needs...

Estimated: $60,000 - $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.

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