Empleos de Milliman - Trabajos de Milliman - Tiempo: Completo

RN Transitional Care Navigator - Population Health

within established protocols Completes Utilization Management for assigned patients. Applies Milliman Care Guidelines (Indicia...

Lugar: Skokie, IL | 22/05/2026 22:05:40 PM | Salario: S/. No Especificado | Empresa: Edward-Elmhurst Health

Care Manager

using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...

Lugar: Snellville, GA | 22/05/2026 17:05:24 PM | Salario: S/. No Especificado | Empresa: Piedmont Healthcare Inc.

Utilization Management (UM) â€“ Pre-Service (Remote | California RN / LVN | Pacific Time Schedule)

for medical necessity across inpatient and outpatient services, applying CMS guidelines and Milliman Care Guidelines (MCG... (LCD, NCD) to assist in determinations of referrals and utilize Milliman Care Guidelines (MCG) to assist in determinations...

Lugar: California | 22/05/2026 00:05:17 AM | Salario: S/. $77905 - 116858 per year | Empresa: Alignment Healthcare

Inpatient Review Nurse (Remote, Must have California LVN / RN License)

: Experience: Required: Minimum 3 years of general case management skills. Minimum of two years of experience utilizing Milliman...

Lugar: California | 21/05/2026 19:05:46 PM | Salario: S/. $77905 - 116858 per year | Empresa: Alignment Healthcare

RN - Care Manager, Days

InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL...

Lugar: Covington, GA | 21/05/2026 02:05:33 AM | Salario: S/. No Especificado | Empresa: Piedmont HealthCare

Clinical Denials Nurse Specialist

requirements Understanding of CPT and HCPCS coding guidelines Expertise with InterQual and Milliman disease management ideologies...

Lugar: Saint Paul, MN | 21/05/2026 01:05:44 AM | Salario: S/. No Especificado | Empresa: Fairview Health Services

Registered Nurse - Utilization Management - Full Time

or current multi state license required. Effective Jan 2026: Current MCG (Milliman Clinical Guideline) certification...

Lugar: Egg Harbor, WI - New Jersey | 20/05/2026 23:05:43 PM | Salario: S/. No Especificado | Empresa: AtlantiCare

LVN- Case Manager - Ambulatory Care - Hybrid

, appropriateness of care and level of care. Use Milliman and Interqual guidelines as necessary. Begins discharge planning and care...

Lugar: Beverly Hills, CA | 20/05/2026 19:05:41 PM | Salario: S/. No Especificado | Empresa: Cedars-Sinai

Registered Nurse - Utilization Management - Full Time

or current multi state license required. Effective Jan 2026: Current MCG (Milliman Clinical Guideline) certification...

Lugar: Egg Harbor, WI - New Jersey | 20/05/2026 18:05:38 PM | Salario: S/. No Especificado | Empresa: AtlantiCare

Spec, Utilization Management

by referencing regulatory mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM (American...

Lugar: Baltimore, MD | 20/05/2026 18:05:36 PM | Salario: S/. No Especificado | Empresa: Ampcus

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