Milliman jobs in Houston, TX

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Onsite Inpatient Care Manager - Houston, TX
Familiarity with Milliman criteria guidelines. Perform utilization and concurrent review of inpatient cases using Milliman criteria....
Sponsored
RN-Case Management Manager
Holy Cross Hospital - Taos - United States
$84,800 a year
Willing to relocate to Taos, NM Responsible and accountable for clinical and financial operations of the Care Management system. The Manager provides...
Easily apply
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Acute Care RN Case Manager
MedPartners - 24 reviews - Houston, TX
Knowledge of InterQual or Milliman guidelines. Travel Acute Care RN Case Manager*....
Easily apply
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Onsite Inpatient Care Manager - Houston, TX

UnitedHealth Group - 4,048 reviews - Houston, TX
Familiarity with Milliman criteria guidelines. Perform utilization and concurrent review of inpatient cases using Milliman criteria....

Health & Group Benefits Consultant

Milliman - 25 reviews - Houston, TX 77002 (Downtown area)
Follow established Milliman protocol for tracking activity, project results and compliance with peer review standards....

Case Manager II - BSN - Days

Houston Methodist - 743 reviews - Houston, TX 77058 (Pasadena area)
Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance using InterQual Hospital...

Utilization Review Specialist

MD ANDERSON CANCER CENTER - 246 reviews - Houston, TX
Perform utilization review on all patients as appropriate utilizing MCG (Formerly Milliman Care Guidelines) according to departmental guidelines....

Appeal and Grievance Nurse

Memorial Hermann - 753 reviews - Houston, TX 77024 (Greater Memorial area)
Utilizes Milliman Care Guidelines, CMS guidelines, and/or other Health Plan endorsed or developed criteria when evaluating clinical appeals....

RN Clinical Appeals Nurse - Houston, Texas

Christus Health - 151 reviews - Houston, TX 77008 (Greater Heights area)
Knowledgeable of InterQual and Milliman Care Guidelines (MCG) medical necessity criteria. The Clinical Appeals Nurse will review each case identified/referred...

Director Clinical Appeals Nurse

Christus Health - 151 reviews - Houston, TX 77008 (Greater Heights area)
Knowledgeable of InterQual and Milliman Care Guidelines (MCG) medical necessity criteria. The Director, Clinical Appeals Nurses is responsible for providing...

Acute Care RN Case Manager

MedPartners - 24 reviews - Houston, TX
Knowledge of InterQual or Milliman guidelines. Travel Acute Care RN Case Manager*....
Easily apply

Case Manager II - BSN - PRN - Days - 32 Hours

Houston Methodist - 743 reviews - Houston, TX 77058 (Pasadena area)
Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance using InterQual Hospital...

RN Case Manager II (Social Work)

Houston Methodist - 743 reviews - Houston, TX 77058 (Pasadena area)
Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance using InterQual Hospital...

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