Milliman jobs in Houston, TX

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Utilization Review Nurse
IntegraNet Health - Houston, TX
Milliman Guidelines (MCG):. MUST have Milliman Guidelines (MCG) experience. Utilization Management Director....
Easily apply
Medical Case Manager (RN or LVN only)
IntegraNet Health - Houston, TX
Milliman Guidelines (MCG):. MUST have Milliman Guidelines (MCG) experience. Medical Director, Director Care Coordination....
Easily apply

Case Manager II

Houston Methodist - 789 reviews - Houston, TX
Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance using InterQual Hospital...

LVN Pre/Authoriz Nurse Auditor

Harris Health System - 155 reviews - Houston, TX 77054 (Medical area)
About UsHarris Health is a nationally recognized health system comprising three teaching hospitals and an extensive network of ambulatory care centers serving

Appeals Nurse Coordinator (RN)

Community Health Choice - 19 reviews - Houston, TX 77054 (Medical area)
The Appeals Nurse Coordinator will utilize Milliman Care Guidelines and Medical Affairs departmental policies for medical necessity and level of care...
Easily apply

Appeals Nurse RN(CHC)

Harris Health System - 155 reviews - Houston, TX 77054 (Medical area)
The Appeals Nurse Coordinator will Utilize Milliman Care Guidelines and Medical Affairs departmental policies for medical necessity and level of care...

Registered Nurse (RN ) - BSN - Case Manager II - Days

Houston Methodist - 789 reviews - Houston, TX
Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance using InterQual Hospital...

Denials and Recovery Specialist - Licensed Vocational Nurse...

Houston Methodist - 789 reviews - Houston, TX
Minimum 5 years experience with clinical decision criteria such as Interqual, Milliman, etc., as well as individual payer (government and commercial) medical...

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