Milliman jobs in Albany, NY

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Utilization Review Nurse
The Utilization Management clinician makes coverage decisions based on specific criteria including Milliman....
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RN UAS Assessment Per Diem, Upstate NY
Knowledge of Milliman criteria (MCG) preferred. The Visiting Nurse Service of New York (VNSNY) is the nation's largest not-for-profit home- and community-based...
Psychiatric Nurse Practitioner
Latham, NY 12110
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful....

Supervisor-Utilization Management

Ron's Jobs
Albany, NY
Experience using Milliman or InterQual criteria for medical necessity, setting and level of care, and concurrent patient management....
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Utilization Management Clinician

Albany, NY
The Utilization Management clinician makes coverage decisions based on specific criteria including Milliman. Utilization Review Nurse....

Nurse Practitioner | LTC/SNF

First Match Services, Inc.
Albany, NY
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful....

Relationship Manager - Health and Group Benefits

Albany, NY
Leading request for proposal (RFP) responses including the coordination of Milliman intellectual capital, tools, and consulting resources involving multiple...

Nurse Practitioner | LTC/SNF

Seasoned Recruitment
Albany, NY
UM standards, NCQA requirements, CMS guidelines, Milliman gu:. Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and...
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Nurse Practitioner OR Physician Assistant

Latham, NY
Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful....

RN UAS Assessment Per Diem, Upstate NY

Albany, NY
Knowledge of Milliman criteria (MCG) preferred. The Visiting Nurse Service of New York (VNSNY) is the nation's largest not-for-profit home- and community-based...

Psychiatric Nurse Practitioner

Latham, NY
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful....

RN Utilization Management Per Diem

Albany, NY 12208 (Whitehall area)
Working knowledge of recognized industry clinical standards, i.e. InterQual, Milliman Care Guidelines. RN- Utilization Management at St....
Transition of Care Program Manager - Case Management - Kingm...
Assess and monitor patient’s appropriateness for care setting (as indicated) according to Milliman Care Guidelines (MCG) criteria and/or other industry standard...

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