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New searchResults list: about 434 jobs found

jobs milliman care guidelines

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  • Care Management Coordinator RN- Ambulatory - Ambulatory Care Management

    Phoenix, AZ
    Must be able to demonstrate knowledge of Ambulatory disease state management practices and pathways, current payor contracts, Milliman Care Guidelines, HEDIS...
    Maricopa Integrated Health System - 15+ days ago
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  • Comprehensive Care Lead RN

    Columbus, OH 43216
    Round with physician Facilitate the Plan of Care Helping to manage the medical plan of care in conjunction with the physician LOS mgt....
    OhioHealth - 15+ days ago
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  • Vice President, Clinical Operations

    New York, NY
    Experience applying medical management treatment guidelines, such as InterQual / McKesson, Milliman, or other practical management guidelines required....
    Michael Page US - 10 days ago
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  • Appeals UM Specialist

    Baltimore, MD
    Knowledge and experience with Interqual and/or Milliman Care Guidelines or other UM criteria sets. Capable of providing in-services education to health care...
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  • LVN Clinical Appeals Coordinator

    Houston, TX 77008
    Knowledgeable of InterQual and Milliman Care Guidelines (MCG) medical necessity criteria. The LVN Coordinator must have a solid understanding of Milliman Care ...
    Christus Health - 15+ days ago
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  • Care Coordinator Asst LVN Emergency Dept Fulltime Nights

    Laguna Hills, CA
    Utilization Review required, using Milliman Care Guidelines or InterQual Guidelines required. The LVN Care Coordination Assistant is responsible for Utilization ...
    Saddleback Memorial Med Center - 15+ days ago
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  • Licensed Clinical Social Worker

    Los Angeles, CA
    Knowledge of InterQual/Milliman evidence based guidelines. Perform clinical case management duties that transitions patients to exceptional optimal clinical...
    Thomson Alliance, Inc - 15+ days ago
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  • LVN Care Coordination Asst PD

    Fountain Valley, CA
    Current California LVN License (required) Current BLS Certification (highly preferred) Utilization Review required, using Milliman Care Guidelines or InterQual ...
    Orange Coast Memorial Med Center - 15+ days ago
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  • LVN (Bilingual Korean)

    Long Beach, CA 90815
    Determines compliance to pre-established medical necessity criteria applying Milliman, and Healthcare Management Guidelines....
    Advanced Medical Management, Inc. - 15+ days ago
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  • JBS/Pilgrims Onsite Disease Management LVN - Cactus, TX

    Cactus, TX
    Develop and implement individualized member care plans per MCG Milliman Guidelines and provide education materials....
    AmeriBen - 15+ days ago
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