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New searchResults list: about 379 jobs found

jobs milliman care guidelines

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  • RN - Case Manager (Seattle)

    Seattle, WA
    In conjunction with physicians, develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative levels of...
    Thomson Alliance, Inc - 4 days ago
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  • RN - Case Manager - Acute Care

    Kailua, HI
    Candidates must demonstrate proficiency in the use of InterQual Review Criteria and Milliman Care Guidelines. Castle Medical Center is seeking an Acute Care RN ...
    Castle Medical Center - 15+ days ago
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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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  • Medical Director, Utilization Management

    San Francisco, CA
    Discuss specialty care with community specialists to ensure continuity of care and to facilitate the delivery of health care....
    Clover Health - 15+ days ago
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  • Case Managers

    Los Angeles, CA
    Use Milliman and Interqual guidelines as necessary. At least 1 year of experience in HMO/Managed Care/Population Health Care Management operations is required ...
    Cedars-Sinai - 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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  • Utilization Management Nurse

    San Francisco, CA
    2-3 years experience in a hospital setting, acute care, direct care experience preferred OR experience as case manager, care coordinator, concurrent review...
    Clover Health - 15+ days ago
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  • Physician Reviewer, Utilization Management

    San Francisco, CA
    Discuss specialty care with community specialists to ensure continuity of care and to facilitate the delivery of health care....
    Clover Health - 15+ days ago
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  • Psychiatric Nurse Practitioner

    Boston, MA
    Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful....
    TalentCare LLC - 7 days ago
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  • Nurse Practitioner

    Boston, MA
    Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful....
    TalentCare LLC - 15+ days ago
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