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Case Manager
MD Anderson Cancer Center 167 reviews - Houston, TX
$66,800 a year
Qual and/or Milliman Care Guidelines criteria for Utilization Review. Two years of Case Management experience in a hospital setting and Certification as a Case...
Sponsored by MD Anderson Cancer Center - 30+ days ago
Patient Care Coordinator (Emergency Department-Case Manager)
RWJHamilton.org - Hamilton, NJ
Initiates utilization review and enters information in Canopy according to departmental UR plan including Interqual, Milliman, and/or Medicare guidelines....
Sponsored by RWJHamilton.org - 30+ days ago

Communications Coordinator

Milliman 17 reviews - Seattle, WA
For over 60 years, Milliman has pioneered strategies, tools and solutions worldwide. One of the largest consulting and actuarial firms in the United States,...
3 hours ago - save job - email - more...

Case Mgr

Chippenham Hospital 9 reviews - Richmond, VA
Qual or Milliman criteria. SPECIFIC ELEMENTS AND ESSENTIAL FUNCTIONS*....
HCA Inc - 9 days ago - save job - email - more...

Defined Contribution – Operational Consultant

Milliman 17 reviews - Denver, CO
Working closely with the relationship manager to provide an excellent Milliman experience. Milliman employs more than 2,000 people working in employee benefits,...
1 day ago - save job - email - more...

Care Coordinator

Premera Blue Cross 67 reviews - Mountlake Terrace, WA
Maintains a thorough understanding of the Plan’s provider contracts, member contracts, authorization requirements and clinical criteria including Milliman Care....
Premera - 5 hours ago - save job - email - more...

Associate, Regulatory Compliance

KPMG 935 reviews - Charlotte, NC
Experience with Interqual and/or Milliman care guidelines and working knowledge of CPT/HCPCS and ICD coding....
KPMG LLP - 3 days ago - save job - email - more...

Ultiz Mgmt Specialist-Downers Grove

Dupage Medical Group 43 reviews - Downers Grove, IL
Experience Applying MCG Guidelines (Formerly Milliman Care Guidelines) a plus. The Utilization Management Specialist is responsible for processing referrals and...
4 days ago - save job - email - more...

On-site Education Consultant

Milliman 17 reviews - Dallas, TX
Perform other duties as requested by Milliman or client. He or she will represent Milliman to clients and their employees....
1 day ago - save job - email - more...

Relief Case Manager-Utilization Review S...

County of San Mateo 6 reviews - San Mateo County, CA
$42.94 - $53.67 an hour
Qual or Milliman, etc.). San Mateo Medical Center is currently seeking a skilled Relief Case Manager-Utilization Review Specialist/Discharge Planner....
Easily apply
4 days ago - save job - email - more...

Case Manager

NORTH - MAIN MEDICAL CENTER - Martin Health System - Stuart, FL
Qual, Milliman & Robertson (M & R) criteria. The Case Manager is accountable to meet the patient’s needs and promote efficient proper use of resources by...
Martin Health System - 19 hours ago - save job - email - more...

Medical Review Specialist

Provider Resources Inc - Lumberton, NC 28359
Qual and/or Milliman guidelines against inpatient services experience is preferred. Medical Review Specialist....
4 hours ago - save job - email - more...
Manager Case Management for WellMed - San Antonio, TX
UnitedHealth Group 1,729 reviews - San Antonio, TX
Nurse manager, rn manager, case management, managed care, san antonio, tx, Interqual, Milliman. Help lead a growing and dynamic team of Case Managers....
Sponsored by UnitedHealth Group - 29 days ago
Care Coordinator
Premera Blue Cross 67 reviews - Mountlake Terrace, WA
Maintains a thorough understanding of the Plan’s provider contracts, member contracts, authorization requirements and clinical criteria including Milliman Care....
Sponsored by Premera - 5 hours ago
CARE MANAGER
Adventist La Grange Memorial Hospital - La Grange, IL
Knowledge of health care reimbursement, utilization management, discharge planning and community resources with the knowledge of DRG~s and other reimbursement...
Sponsored by Adventist Midwest Health - 30+ days ago

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Company with Milliman jobs
RWJ Hamilton is a trusted and established part of the greater Mercer County community, providing quality care to its residents since 1994.