Milliman Care Guidelines jobs in Seattle, WA

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Concurrent Review Nurse
HCS Healthcare - 25 reviews - Tacoma, WA
$68,000 a year
Experience utilizing InterQual or Milliman Care Guidelines. 2+ years’ of clinical nursing experience in an acute care setting....
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Assistant Medical Director - Utilization Management
Pre- and post-service reviews, concurrent facility based care reviews, including transitions between levels of care. Managed care experience is desired....
Psychiatric Nurse Practitioner - Part Time
Landmark Health - 11 reviews - Seattle, WA 98127
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful....

Mgr, Utilization Management

Community Health Plan Of Washington - 29 reviews - Seattle, WA 98101 (Downtown area)
Experience in care management workflow systems. Knowledge in criteria set, including Milliman and InterQual, preferred....

Onsite Skilled Nursing Care Manager

UnitedHealth Group - 5,981 reviews - Seattle, WA 98127 (Downtown area)
Familiarity with Milliman criteria guidelines. Arrange alternative care services; Identify and evaluate delays in care....

RN Care Coordinator- Utilization Management

Providence Health & Services - 886 reviews - Everett, WA 98203 (View Ridge-Madison area)
Experience with Interqual or Milliman Criteria. Coordinate with discharge planning through active organization and monitoring of the patient care process to...

Implementation Advanced Practice Provider - West Coast

Landmark Health - 11 reviews - Seattle, WA
Completion of Nurse Practitioner accredited program Minimum of five (5) years clinical experience, desired Knowledge of long-term care, community resources and...

Psychiatric Nurse Practitioner - Part Time

Landmark Health - 11 reviews - Seattle, WA
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful....

Psychiatric Nurse Practitioner (NP) Part-Time

TalentCare LLC - Seattle, WA
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful....

Nurse Practitioner- Part Time

TalentCare LLC - Seattle, WA
Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful *....

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