Milliman jobs in New York, NY

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Director, Care & Utilization Management
Experience applying medical management treatment guidelines, such as InterQual / McKesson, Milliman, or other practical management guidelines required....
Clinical Evaluation Manager-UM (RN Required, Office-based)
Knowledge of Milliman criteria (MCG) preferred. Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system....
Telephonic Nurse Case Manager
Interqual and Milliman experience preferred. Job DescriptionRegistered Nurse - Telephonic Case Manager*....
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Consulting Actuary

Milliman - 33 reviews - New York, NY 10119 (Chelsea area)
Milliman, a national actuarial consulting firm, is seeking a Consulting Actuary for the New York P&C Insurance Practice....

Care Manager Cluster Care-4

Magellan Health - 370 reviews - Brooklyn, NY 11201
Ability to apply Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines. General Job Information....

CASE MANAGER

SUNY Downstate Medical Center - 96 reviews - Brooklyn, NY
$51,366 - $108,023 a year
Utilized standard review criteria, specifically the Milliman Care Guidelines, to justify level of care, medical necessity, expected length of stay, and...

Clinical Team Manager

naviHealth - 26 reviews - New York, NY
Knowledgeable of InterQual and Milliman a plus. NaviHealth is the result of over a decade of dedicated visionary leaders and innovative organizations...

IDT MANAGER

CenterLight Health System - 19 reviews - Flushing, NY  +1 location
Collects appropriate clinical information to make a determination of medical necessity for reviewed service based on Milliman Optimum Recovery Guideline and...

Case Manager - 11am to 11pm

Mount Sinai Health System - 740 reviews - New York, NY 10029 (Yorkville area)
Mount Sinai Health System Careers Do you have what it takes to wear the badge? Being a member of our nursing team at the Mount Sinai Health System is truly a

I-SNP CLINICAL MANAGER

CenterLight Health System - 19 reviews - Bronx, NY
Ensure that the CCSs are knowledgeable and utilizes Evidence Based Guidelines as established by Milliman and other guidelines within the standards of practice...

Director of Case Management

St. John’s Riverside Hospital - 3 reviews - Yonkers, NY
Ensures staff is trained and using Milliman and InterQual Criteria. St....

Senior Clinical Manager

naviHealth - 26 reviews - New York, NY
Knowledge of InterQual and Milliman a plus. NaviHealth is the result of over a decade of dedicated visionary leaders and innovative organizations challenging...

Senior Care Manager

Healthcare Scouts - 21 reviews - Brooklyn, NY
$38.50 an hour
Ability to apply with InterQual or Milliman care criteria for medical necessity. HealthCare Scouts, Inc....
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Registered Nurse (Generalist), Care Manager/Case Manager, Da...
NYU Hospitals Center - New York, NY 10016
Conducts accurate reviews using CMS, Milliman Care Guidelines and the patients chart as the primary source of information....
Registered Nurse, Care Manager/Case Manager (ED Observation)
NYU Hospitals Center - New York, NY 10016
Conducts accurate reviews using CMS, Milliman Care Guidelines and the patients chart as the primary source of information....

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