Jobs by Simply Hired

Search for Jobs

Job Title, Skills, or Company

City, State, or ZIP

Milliman jobs

Viewing 1 - 10 of 2,621 jobs

  • Registered Nusre - Utilization Management - 1st Shift - Days

    UC Health - Fort Collins, CO

    cases · Assists departmental staff with issues related to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement and concurrent denials appeals · Collaborates closely with...

    7 days ago from UC Health

  • 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...

    12 days ago from HCA Healthcare

  • Case Management: Trauma Services

    HCA Healthcare - Richmond, VA

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

    12 days ago from HCA Healthcare

  • Advanced Practice Nurse 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...

    2 days ago from Barnabas 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.

    3 days ago from Northwest Hospital

  • HOSPITAL CARE COORDINATOR - WHH CLINICAL RESOURCE MANAGEMENT

    BayCare Health System - Winter Haven, FL

    years healthcare experience. One-year Interqual, or Milliman-Robertson, or Completion of CM Certification Program or completion of CM Internship Program (within 3 months of hire). SPECIFIC SKILLS: Customer service skills Interpersonal...

    5 days ago from Nurse.com

  • 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...

    22 days ago from UC Health

  • Registered Nurse | RN | CM Contract

    Favorite Healthcare Staffing - Falls Church, VA

    a hospital setting; Allscripts background a plus Must have Milliman Care Guidelines experience Will most likely be assigned to a med surg or med tele unit EPIC experience Preferred but not required BSN REQ Outstanding Benefits: Exclusive...

    22 days ago from CareerVitals.com Healthcare Job Board

  • RN Care Manager (Prescott, AZ)

    Yavapai Regional Medical Center - Torrington, WY

    in Nursing CCM certification Experience with INTERQUAL or Milliman Electronic Medical Record (EMR) experience; Cerner strongly preferred Required Qualifications: Must hold a current, valid Arizona or compact state RN license One year of...

    2 days ago from Yavapai Regional Medical Center

  • RN Manager, Utilization Management

    Blake & Associates Medical Revruiting - Hanover, MD

    Computer literate - MS Word, Excel, Outlook, Knowledge of Milliman or Interqual criteria preferred, Prior experience managing clinical staff required. Responsibilities: Responsible for providing clinical supervision to a team responsible...

    27 days ago from The Ladders