Allegiance Benefit Plan Mgmt. - Missoula, MT +2 locations

As a Medical Review Nurse your experience working with Milliman care, Medi-cal and Medicare guidelines will be keys to success in landing this great opportunity...

Estimated: $94,000 - $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.

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: $65,000 - $85,000 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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Signature Performance, Inc - North Pole, AK 3.3

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

Estimated: $45,000 - $60,000 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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Doctors Hospital - Coral Gables, FL 4.2

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

Estimated: $55,000 - $74,000 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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Aetna - Richmond, VA 3.8

Uses Aetna Systems such as QNXT, ProFAX, ProPAT, and Milliman Criteria. The Prior Authorization Representative supports comprehensive coordination of medical...

Estimated: $33,000 - $46,000 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 - Florida 3.7

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or...

Estimated: $61,000 - $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.

UnitedHealth Group - Tennessee +4 locations3.6

Familiarity with Milliman Care Guidelines or Interqual. Are you ready for your next challenge?...

UnitedHealth Group - Tennessee +4 locations3.6

Familiarity with Milliman Care Guidelines or Interqual. Are you ready for your next challenge?...

Aetna - Richmond, VA 3.8

Experience and knowledge required in clinical guidelines, systems/tools i.e., Milliman, Interqual. The Concurrent Review Consultant utilizes clinical skills to...

Estimated: $61,000 - $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.

Humana - Virginia 3.7

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

Estimated: $53,000 - $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.

naviHealth - Brentwood, TN 3.3

Why naviHealth? naviHealth is the result of over a decade of dedicated visionary leaders and innovative organizations challenging the status quo for PAC...

Estimated: $59,000 - $85,000 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.

NCI Information Systems, Inc. - Baltimore, MD 3.5

Overview NCI is a leading provider of enterprise solutions and services to U.S. defense, intelligence, health and civilian government agencies. Coupled with a...

Estimated: $100,000 - $150,000 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 - Alabama 3.7

Interqual (or Milliman) knowledge. The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to...

Estimated: $61,000 - $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.

Provider Resources Inc - United States 4

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

Estimated: $64,000 - $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.

R1 RCM - Remote 3.1

Experience with Milliman (MCG Criteria). Perform initial admission and continued stay reviews utilizing InterQual and Milliman using evidenced-based criteria in...

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.

UnitedHealth Group - Evanston, WY +1 location3.6

Knowledge of Milliman Criteria. You're looking for something bigger for your career....

Calloway & Associates, Inc. - San Antonio, TX 

Title: Registered Nurse Status: Full-Time Contract: One base year (with 4 year option) The Registered Nurse provides professional nursing care to patients...

Estimated: $73,000 - $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.

eviCore healthcare - Remote 3.2

Utilize CMS guidelines, NCDs, LCDs, and appropriate guidelines (InterQual, Milliman and Robbins) in medical necessity determinations....

Estimated: $46,000 - $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.

Franciscan Health - Indianapolis, IN 3.5

Integrated Case Management Franciscan Health 8111 South Emerson Avenue Indianapolis, IN 46237 Days; Evenings; Weekends PRN (As Needed) Bachelor's...

Estimated: $56,000 - $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.

Aetna - Wichita, KS +2 locations3.8

Experience and knowledge in clinical guidelines, systems and tools i.e. Milliman, Interqual. The Case Management Coordinator will develop, implement, support,...

Estimated: $52,000 - $69,000 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 3.7

Milliman is among the world’s largest independent consulting and actuarial firms. Overview and Job Description....

Estimated: $49,000 - $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.

UnitedHealth Group - Greensboro, NC +6 locations3.6

Utilizing Milliman criteria to determine if patients are in the correct hospital setting. Challenge brings out the best in us....

Piedmont Healthcare - Atlanta, GA 3.7

Experience using InterQual or Milliman; The Care Manager is responsible for care coordination, progression of care, and....

Estimated: $56,000 - $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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NCI Information Systems, Inc. - Baltimore, MD 3.5

Overview NCI is a leading provider of enterprise solutions and services to U.S. defense, intelligence, health and civilian government agencies. Coupled with a...

Estimated: $100,000 - $150,000 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 required, previous experience with InterQual and/or Milliman preferred....

Estimated: $58,000 - $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.

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