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Milliman jobs

Viewing 1 - 10 of 788 jobs

  • Patient Placement Coordinator

    Phoenix Children's Hospital - Phoenix, AZ

    goals. Determines proper patient admission status based on Milliman criteria and verifies alignment between admission order and determined admission status. Assist with determining patient benefits/eligibility. Reviews and plans for all...

    1 day ago from Phoenix Children's Hospital

  • Nurse Practitioner/Physician Assistant - In-Home Visits

    Landmark Health - Buffalo, NY

    erience, with home based care desired. Knowledge of CPT, ICD-9 and HCPC codes. Knowledge of clinical standards of care. Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and...

    26 days ago from Landmark Health

  • Nurse Practitioner - In-Home Visits

    Landmark Health - Seattle, WA

    erience, with home based care desired. Knowledge of CPT, ICD-9 and HCPC codes. Knowledge of clinical standards of care. Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and...

    26 days ago from Landmark Health

  • Case Manager - Reserve

    Northwest Hospital - Seattle, WA

    of medical screening criteria Interqual or Milliman preferred. Special Training/Skills Able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on the assigned unit(s)/department.

    1 day ago from Northwest Hospital

  • Case Management Nurse - Case Manager - (CM RN)

    American Mobile - Puyallup, WA

    companies. Required Qualifications WA license, BLS, Milliman training, Minimum one year case management exp in inpatient & ED MHS System Case Management for inpatient & ED with float Will have a primary location either Good Samaritan...

    6 days ago from American Mobile Healthcare

  • Case Manager PRN / Chippenham Hospital

    HCA Healthcare - Richmond, VA

    patients for appropriateness based on InterQual® or Milliman® criteria. 2.*Performs admission and concurrent reviews for all payors and maintains legible documentation as directed by the Utilization Management Plan. 3 *Identifies and...

    14 days ago from HCA Healthcare

  • Registered Nurse Utilization Management - Case Manager- Inpatient Rehabilitation - Winter Park 202801

    Florida Hospital System - Winter Park, FL

    working knowledge of Medicare/ Inter-Qual criteria/Milliman Care Guidelines, through review of pre-admission and admission, level of care and continued stay information to determine appropriateness of hospital admission status for all...

    12 days ago from Florida Hospital System

  • Advanced Practitioner Case Manager

    Barnabas Health - Belleville, NJ

    Emergency Department using evidence based criteria (i.e. Milliman, Interqual). Works with the Emergency Department Care team and Primary Physicians and recommends appropriate level of care. Assist in facilitation of the level of care...

    1 day ago from Barnabas Health

  • Revenue Recovery RN - 1st Shift - Days

    UC Health - Fort Collins, CO

    orking knowledge of commercial and government payors policies * Understanding of UB-04, CPT, ICD-9/10 * Experience in Case Management —i.e. InterQual, MCG/Milliman * Proficient MS Office Skills (Outlook, Word, Excel) * Experience using...

    30+ days ago from UC Health

  • Psychiatric Nurse Practitioner

    Landmark Health - Portland, OR

    with home based care desired. Knowledge of CPT, ICD-9 and HCPC codes Knowledge of clinical standards of care. Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and...

    26 days ago from Landmark Health