Milliman jobs
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Featured Job Postings from the Web
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| May 27 | Urologist - New York Area | Statim Recruits | Jamestown, NY |
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Healing and Hyperbaric Medicine -Mildred Milliman Radiation Medicine Center in collaboration with Roswell Park Cancer Institute -Digestive Disease Center -Comprehensive state-of... more |
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| May 27 | Registered Nurse - Bentonvi, AR - # 1754 | Employment Solutions Staffing | Louisville, KY |
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needs using established criteria, e.g. Milliman LOS guidelines. Identifies and implements quality, cost-effective and appropriate alternatives of care in a coordinated effort with... more |
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| May 26 | NY | Aimpoint Health | Allegany, NY |
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Healing and Hyperbaric Medicine -Mildred Milliman Radiation Medicine Center in collaboration with Roswell Park Cancer Institute -Digestive Disease Center -Comprehensive state-of... more |
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| May 25 | Director of Case Management | Moving Ahead Associates | Seattle, WA |
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including application of criteria (InterQual/Milliman). * Knowledgeable about community, ... Skilled in InterQual and/or Milliman criteria... more |
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| May 23 | Case Manager I | Sharp Healthcare | San Diego, CA |
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for Utilization Review (InterQual or Milliman) * Proficiency with information systems and computer programs inclusive of electronic medical records and clinical information... more |
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| May 18 | Director of Case Management - Nurse | Besthire Recruiting | Bremerton, WA |
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SPECIALIZED TRAINING REQUIRED: Skilled in InterQual and/or Milliman criteria ... - Skilled in InterQual and/or Milliman criteria. Management of multidisciplinary department. more |
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| May 14 | Nurse Consultant | MedAmerica | Emeryville, CA |
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planning Knowledge of Interqual and Milliman Guidelines Here's How You Would Support Our Clients: Facilitate and oversee the implementation of operational performance initiatives,... more |
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| May 11 | Case Manager | Yoh Company | Torrance, CA |
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inpatients, including the length of stay and Milliman and Robertson criteria. Job Qualifications: - RN or LVN License in State of CA (Must be Active and in good standing). - At... more |
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| May 11 | Supervisor Inpatient Specialty | Memorialcare Health System | Tustin, CA |
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applying evidence-based criteria (i.e.: Milliman, Interqual); Health plan medical policy / clinical coverage guidelines. 3 years work experience with CMS (Centers for Medicare and... more |
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| Apr 18 | UROLOGY OPPORTUNITY FOR A TURN KEY PRACTICE | Best Fit Staffing | New York |
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Healing and Hyperbaric Medicine -Mildred Milliman Radiation Medicine Center in collaboration with Roswell Park Cancer Institute -Digestive Disease Center -Comprehensive state-of... more |
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| Apr 10 | Sr. Medical Director | Carewise Health | Louisville, KY |
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with utilization management criteria (e.g. Milliman) Special Requirements (Licenses, certifications, etc. required): -Unrestricted medical license in home state (KY) -Board... more |
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| Mar 23 | Sr Asst Med Director | Premera Blue Cross | Mountlake Terrace, WA |
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criteria sets and clinical pathways, such as Milliman & Robertson, Interqual and others. 2. Understanding of clinical billing guideline principles or similar system. 3. more |
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| Mar 10 | Clinical Evaluation Manager | Visiting Nurse Service of New York | New York, NY |
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CHOICE Medicare Plan. Eperience using either Milliman Care or InterQual guidelines and strong computer skills. Bilingual skills preferred ------------ apply Similar Jobs * Staff... more |
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| Feb 28 | Ambulatory Care Manager | Memorialcare Health System | Tustin, CA |
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Milliman, Interqual), Healthplan medical policy/clinical coverage guidelines. - 3 years experience with CMS coverage policies. - 2 years experience in a leadership role preferred. more |
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| Feb 16 | BE/BC Orthopedic Surgeon Needed - Olean | Executive Staff Recruiters | New York |
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Dialysis Center, Dental Center, Mildred Milliman Radiation Medicine Center, a premier affiliate site of Roswell Park Cancer Institute, and much more... They are part of the Upper... more |
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| Feb 16 | Orthopaedic Surgery Practice options in Western New | Millenium Medsearch | New York |
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Dialysis Center, Dental Center, Mildred Milliman Radiation Medicine Center, a premier affiliate site of Roswell Park Cancer Institute, and much more... This progressive group is... more |
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| Feb 16 | BE/BC Neurologist Needed - Olean, NY $194-238K | Executive Staff Recruiters | Knapp Creek, NY |
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Dialysis Center, Dental Center, Mildred Milliman Radiation Medicine Center, a premier affiliate site of Roswell Park Cancer Institute, and much more... They are part of the Upper... more |
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| Dec 16 | Per Diem RN-III | Sharp Healthcare | San Diego, CA |
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for Utilization Review (InterQual or Milliman) Proficiency with information systems and computer programs inclusive of electronic medical records and clinical information programs... more |
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More Job Postings from the Web
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| May 24 | Coordinator | Atlantic Health | Newton, NJ |
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Knowledge and strong utilization of Milliman Care guidelines. Responsibilities: Supervises daily case management operation. Acts as a role model in ensuring vision and mission is... more |
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| May 23 | Case Manager | Oakwood Healthcare | Trenton, MI |
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services rendered utilizing Interqual and Milliman Guidelines. Understands the utilization and denial processes. Employs utilization, clinical, and coding expertise to ensure... more |
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| May 22 | Clinical Appeals Specialist - ATL | Corpus Christi Medical Center | Atlanta, GA |
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l reasons Qualifications EDUCATION . ASN or BSN EXPERIENCE . At least one+ years case management experience required . UR experience a must . Interqual/Milliman criteria... more |
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| May 22 | Case Manager/Social Worker - FT | Lake Cumberland Regional Hospital | Palatka, FL |
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a payer source. Knowledge of Inter Qual or Milliman criteria preferred. Social worker licensure. Licensed Social Worker experience in healthcare setting. Job Case... more |
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| May 22 | RN Critical Care | CJW Medical Center | Hudson, FL |
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l reasons Qualifications EDUCATION . ASN or BSN EXPERIENCE . At least one+ years case management experience required . UR experience a must . Interqual/Milliman criteria... more |
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| May 22 | Nursing Director of Utilization Review | Clinical Management Consultants | Gig Harbor, WA |
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social work while adhering to InterQual and Milliman standards. The Director of ... of Care Management, Social Work, Interqual, Milliman, LTAC Manager, Long Term Acute Care... more |
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| May 22 | Clinical Appeals Specialist - ATL | HCA Healthcare | Atlanta, GA |
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l reasons Qualifications EDUCATION . ASN or BSN EXPERIENCE . At least one+ years case management experience required . UR experience a must . Interqual/Milliman criteria... more |
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| May 22 | Utilization Review RN Case Manager | CSI Health | Tampa, FL |
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sly, and must demonstrate dependability and initiative. Intermediate knowledge of Microsoft Office required; familiarity with InterQual? or Milliman? Clinical Guidelines... more |
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| May 19 | Physician Advisor | Tenet Healthcare | Philadelphia, PA |
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Documentation Management and InterQual/Milliman guidelines. The Physician Advisor is required to facilitate and lead a multi-disciplinary team. Management knowledge is required in... more |
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| May 16 | Payment Review Specialist Job | St. Luke's Episcopal Health System | Houston, TX |
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f relevant experience within a hospital setting. BSN degree preferred. Medicare auditing, healthcare systems (comparable to InterQual, Milliman) will be given strong... more |
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| May 15 | RN:Case Manager travel job | Soliant Health | Miami, FL |
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years of clinical experience, interqual and Milliman Care Guidelines. Need to have recent "In hospital" experience, health plan work outside of hospitals is less than desired For... more |
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| May 15 | Technical Support Specialist | Milliman | Dallas, TX |
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the Specialist works closely with Milliman's Benefits Resource Center and the ... and data manipulation *Coordinate with Milliman BRC (Benefits Resource Center) with... more |
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| May 08 | On-Site Utilization Management Nurse, St. Louis, MO - Work with an Amazing Team! | UnitedHealth Group | St Louis, MO |
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utilization and concurrent review using Milliman criteria -Conduct clinical chart assessments -Discuss cases with treating physicians and other healthcare professionals to better... more |
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| Apr 06 | Program Manager | Milliman Care | Seattle, WA |
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A Program Manager will work with the Business and Technology teams to plan and successfully execute projects to its completion according to the business needs. Program Manager may... more |
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| Apr 02 | Implementation/Systems Analyst - Pension | Milliman | Dallas, TX |
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administration calculation engines using Milliman's proprietary administration system, ... within their department and with other Milliman teams (possibly across office... more |
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| Apr 02 | Director of Case Management | Cgk Associates | Washington |
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to do so -Skilled in InterQual and/or Milliman criteria. Management of multidisciplinary department. -Five plus years clinical experience in a Hospital setting and... more |
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| Apr 02 | Benefits Service Representative | Milliman | Dallas, TX |
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issues in a call center environment. Milliman's management has a history of ... provide information from/to participants, Milliman employees, or partner companies. more |
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| Mar 14 | Case Manager/Social Worker - FT | LifePoint Hospitals | Palatka, FL |
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a payer source. Knowledge of Inter Qual or Milliman criteria preferred. Social worker licensure. Licensed Social Worker experience in healthcare setting. Job Case... more |
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| Mar 09 | Care Manager - RN | Frederick Regional Health System | Frederick, MD |
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preferred. Knowledge of Interqual or Milliman care guidelines a plus. Excellent interpersonal skills with the ability to work independently as well as with members of the... more |
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| Feb 28 | RECOVERY AUDIT SPECIALIST-COMPLIANCE: FT: 8A-4:30P | Maury Regional Medical Center and Affiliates | Columbia, TN |
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admission screening experience (Interqual or Milliman) is a plus as is experience with healthcare chart auditing. Knowledge of Medicare/Medicaid medical necessity guidelines,... more |
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| Dec 01 | RN Case Manager | Rotator Staffing Services | Elmhurst, NY |
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Case Manager must be a Registered Nurse will be responsible for Admissions justifications & should have knowledge of "Milliman" criteria more |
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| Nov 29 | NURSE REVIEWER | Adecco | Charlestown, MA |
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preferred. Knowledge of clinical criteria (Milliman / InterQual) and DRG coding is preferred but not required. Please do not hesitate to apply if you are looking for a temporary... more |
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