Phoenix Children's Hospital - Phoenix, AZ 3.9

Determines proper patient admission status based on Milliman criteria and verifies alignment between admission order and determined admission status....

Estimated: $33,000 - $48,000 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 - Cascade County, MT 3.3

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

Estimated: $40,000 - $55,000 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: $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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CHRISTUS St. Vincent - Santa Fe, NM 3.6

Ability to apply InterQual and Milliman Care Guidelines (MCG) medical necessity criteria to a case as applicable....

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.

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Excellus - Rochester, NY 

Proficiency using Milliman USA Health Cost Guidelines may be required; The Lifetime Healthcare Companies aims to attract the best talent from diverse...

Estimated: $80,000 - $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.

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: $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.

Milliman - Atlanta, GA 3.7

Create a collaborative participatory model to drive sales through Milliman leaders and colleagues. Deliver utilization and margin in alignment with Global...

Estimated: $120,000 - $180,000 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.

MetroPlus Health Plan - New York, NY 3.3

Requires knowledge of evidence-based guideline tools (InterQual, Milliman) for utilization management....

$140,000 - $150,000 a year

UnitedHealth Group - Dallas, TX 3.6

Assesses patients' clinical information and effectiveness of current medical services through phone interview, following either the WellMed or Milliman...

FSR (Federal Staffing Resources) - Great Falls, MT +1 location4

And McKesson (InterQual) and/or Milliman Care Guidelines. Registered Nurse (RN) - Utilization Management Position Highlights:....

Estimated: $64,000 - $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.

Integrity Staffing Solutions - Overland Park, KS 3.8

Previous Medicaid/Medicare experience Experience and knowledge required in clinical guidelines, systems/tools i.e., Milliman, Interqual....

$27 an hour

Boys & Girls Clubs of Dumplin Valley - White Pine, TN 

Attend webinars on Milliman and First Advantage. 21st Century, Leap, and DOH Abstinence, Create Timesheets and send each month ( make sure the percentages are...

Estimated: $33,000 - $44,000 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: $71,000 - $98,000 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.

AdviCare - Lakeland, FL +1 location

Ideal candidate will have 3-5 years in Utilization Review/Case Management, and be knowledgeable of Interqual and/or Milliman healthcare guidelines....

Estimated: $57,000 - $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.

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: $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.

CCC Information Services Inc. - Iselin, NJ 3.9

Appropriate use of the Care Paths, Milliman or Interqual criteria. Job Description Summary....

Estimated: $59,000 - $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.

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: $50,000 - $67,000 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.

Terre Haute Regional Hospital - Terre Haute, IN 3.5

Knowledge of Interqual Criteria or Milliman guidelines. Registered Nurse (RN) Case Manager Full Time(Job Number:....

Heritage Healthcare - Santa Rosa, CA +1 location3.5

Proficiency in Milliman Care Guidelines. Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other...

Estimated: $70,000 - $94,000 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 - San Francisco, CA 3.7

About Milliman and the San Francisco Healthcare Management Consulting (HMC) Practice. The San Francisco HMC is a growing practice within Milliman, working...

Estimated: $66,000 - $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.

Santa Clara Family Health Plan - San Jose, CA 3.9

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

KH Recruiting - Duluth, MN +1 location

Knowledge of InterQual, Milliman, NCQA and URAC is a plus. The Senior Clinical Manager (SCM) is responsible for management of all clinical functions in the...

Estimated: $73,000 - $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.

Saddleback Memorial Medical Center - Laguna Hills, CA 4

Knowledge of various agencies and regulations pertaining to Milliman Care Guidelines (MCG),. Registered Nurse, (RN),Coordinator Clinical Admissions-Mondays and...

Estimated: $68,000 - $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.

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 - $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.

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McClellan Street Health Center - Schenectady, NY 3.9

Ie. InterQual, Milliman Care Guidelines. The Utilization Management Registered Nurse (UM RN) supports daily coordination of care across healthcare continuum...

Estimated: $69,000 - $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.

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Presbyterian Healthcare Services - Albuquerque, NM 3.6

Ability to operationalize the requirements of Milliman and Interqual care guidelines within the department. As one of the nation's leading integrated healthcare...

Estimated: $130,000 - $180,000 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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