St. Joseph Hospital Orange - Orange, CA 4

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

Estimated: $74,000 - $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.

Christus Health - Santa Fe, NM 3.8

Ablility 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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Hendrick Health System - Abilene, TX 3.9

Proficient in Allscripts EMR, Allscripts CM software program, Milliman Care Guidelines (MCG), IDX and 3M within 6 months. HENDRICK MEDICAL CENTER....

Estimated: $67,000 - $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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TotalMed Staffing, Inc - San Francisco, CA 3.8

Work on Milliman. Authorizes requests for services using Milliman clinical guidelines; Performs concurrent review to assure appropriateness of admission,...

Estimated: $62,000 - $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.

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Martin Luther King, Jr. Community Hospital - Los Angeles, CA 3.4

Utilizes Milliman Care Guideline’s best practices to determine patient disposition. The Medical Social Worker is a skilled and experienced professional License...

Estimated: $68,000 - $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.

Martin Luther King, Jr. Community Hospital - Los Angeles, CA 3.4

Utilizes Milliman Care Guideline’s best practices to determine patient disposition. The Medical Social Worker is a skilled and experienced professional License...

Estimated: $66,000 - $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.

Martin Luther King, Jr. Community Hospital - Los Angeles, CA 3.4

Utilizes Milliman Care Guideline’s best practices to determine patient disposition. The Medical Social Worker is a skilled and experienced professional License...

Estimated: $66,000 - $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.

Managed Resources Inc - Remote, OR 3.4

 Working knowledge of InterQual and Milliman Care Guidelines as well as payer specific medical guidelines and how to apply them in an appeal....

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.

Premier Health Partners - Dayton, OH 3.3

Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements preferred. CASE MANAGEMENT (ICM)....

Estimated: $57,000 - $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.

Milliman - Seattle, WA 3.8

Milliman's Seattle healthcare practice provides consulting services to clients in the healthcare industry including health plans, government payers, providers...

Estimated: $55,000 - $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 - Dallas, TX 3.8

Compatibility with Milliman Professionals, Sensitive to Quality, Problem Solver, Flexibility, Detail Oriented, and Analytical....

Estimated: $79,000 - $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.

Landmark Health - Tacoma, WA +1 location3.1

Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful....

Estimated: $100,000 - $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.

Fidelis Care - New York, NY 3.2

Position: RN Care Manager High Risk Description: As a mission-driven health plan serving all 62 counties of New York State, Fidelis Care provides quality,...

Estimated: $81,000 - $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.

Banner Health - Tucson, AZ 3.8

- Bring your nursing passion for “making a difference” in people’s lives and making healthcare easier so that life can be better, to us! That is our mission...

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.

Dupage Medical Group - Downers Grove, IL 3.1

Knowledge of Milliman Care Guidelines or application of criteria to determine medical necessity. Determines medical necessity by application of criteria per...

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.

Univera Healthcare - Buffalo, NY +1 location3.7

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

Estimated: $78,000 - $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.

Johns Hopkins Health Care - Glen Burnie, MD 3.8

Proficiency using InterQual and/or Milliman criteria. Authorization Medical Review, Transplant RN....

Estimated: $74,000 - $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.

Excellus - Buffalo, NY 

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

Estimated: $81,000 - $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.

Union Hospital of Cecil County MD - Elkton, MD 

Union Hospital of Cecil County, northeast Maryland’s premier healthcare organization, is an employer of choice in the thriving community of Elkton, and just a...

Estimated: $60,000 - $84,000 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.

Catrina Milliman - State Farm Agent - Freeport, ME 3.9

As a State Farm team member for Catrina Milliman - State Farm Agent, you will build and develop customer relationships within the community to promote State...

$40,000 - $60,000 a year

University of Maryland Medical System - Hunt Valley, MD 3.9

Composes provider appeals for denied days utilizing criteria sets Intraqual and Milliman and Robertson (M&R) in conjunction with clinical documentation and...

Estimated: $76,000 - $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.

Doylestown Hospital - Doylestown, PA 3.4

Competence with Interqual and Milliman criteria. Maintains competency in Milliman, Interqual and Medicare criteria and application to clinical assessment and...

Estimated: $120,000 - $160,000 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.

Correct Care Solutions - White Hall, AR 

Overview Our Regional Care Manager, in collaboration with the Regional Medical Directors and CCS site leadership, is responsible for the utilization management...

Estimated: $57,000 - $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.

Aetna - Overland Park, KS 3.8

Uses Aetna Systems such as QNXT, ProFAX, ProPAT, and Milliman Criteria. Are you ready to join a company that is changing the face of health care across the...

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St. Luke's University Health Network - Bethlehem, PA 4.2

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and...

Estimated: $66,000 - $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.

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Maxim Healthcare Services - Youngstown, OH 3.6

Knowledgeable of InterQual and Milliman a plus. The Clinical Team Manager (CTM) is responsible for the day to day management and leadership of their assigned...

Estimated: $63,000 - $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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