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Jun 01 Telephonic Case Manager, RN - Kidney Resource Services UnitedHealth Group Plano, TX

and tracking findings * Utilizing Milliman criteria to determine if patients are in the correct hospital setting * Making "welcome home" calls to ensure that discharged member... more

May 31 Case Manager- Oncology UnitedHealth Group Richardson, TX

and tracking findings * Utilizing Milliman criteria to determine if patients are in the correct hospital setting * Making "welcome home" calls to ensure that discharged member... more

May 25 Utilization Management Nurse - Join our Growing Team in Richardson UnitedHealth Group Dallas, TX

utilization and concurrent review using Milliman criteria-Conduct clinical chart ... care environment is desired-Familiarity with Milliman criteria guidelines would be... more

May 25 Utilization Management Nurse - Join our Growing Team UnitedHealth Group Richardson, TX

utilization and concurrent review using Milliman criteria-Conduct clinical chart ... care environment is desired-Familiarity with Milliman criteria guidelines would be... more

May 17 Case Manager UnitedHealth Group Richardson, TX

and tracking findings * Utilizing Milliman criteria to determine if patients ... background * Experience working with Milliman * Utilization review experience *... more

May 16 Registered Nurse Director of Case Management Medcore Talent Dallas, TX

including application of criteria (InterQual/Milliman). Knowledgeable about community, state and federal financial, health and social policy, regulations and programs. more

May 08 Utilization Management Nurse - Join Our Dynamic UM Team UnitedHealth Group Richardson, TX

utilization and concurrent review using Milliman criteria-Conduct clinical chart ... care environment is desired-Familiarity with Milliman criteria guidelines would be... more

May 08 Utilization Management Nurse - Join Our Dynamic UM Team in Richardson UnitedHealth Group Dallas, TX

utilization and concurrent review using Milliman criteria-Conduct clinical chart ... care environment is desired-Familiarity with Milliman criteria guidelines would be... more

May 01 United Clinical Services ICM Medical Director - Texas Virtual Role UnitedHealth Group Dallas, TX

a champion of EBM, and in particular of Milliman Care Guidelines which currently are the company's primary review guidelines. · Engages daily and ongoing with line inpatient... more

Apr 26 Exciting Opportunity Available as a RN Case Manager UnitedHealth Group Richardson, TX

and tracking findings * Utilizing Milliman criteria to determine if patients ... background * Experience working with Milliman * Utilization review experience *... more

Apr 26 Hospital Onsite Utilization Management Nurse for the North Dallas area! UnitedHealth Group Dallas, TX

care guidelines or criteria sets -(i.e. Milliman or InterQual), and ability to apply ... * Certified Case Manager (CCM) Key Words: Milliman, Interqual, utilization review,... more

Apr 18 Exciting opportunity for a Bilingual RN Case Manager with OptumHealth in Richardson UnitedHealth Group Plano, TX

and tracking findings * Utilizing Milliman criteria to determine if patients ... background * Experience working with Milliman * Utilization review experience... more

Apr 18 Exciting opportunity for a Bilingual RN Case Manager with OptumHealth UnitedHealth Group Richardson, TX

and tracking findings * Utilizing Milliman criteria to determine if patients ... background * Experience working with Milliman * Utilization review experience... more

Mar 15 Inpatient Care Medical Director UnitedHealth Group Dallas, TX

a champion of EBM, and in particular of Milliman Care Guidelines which currently are the company's primary review guidelines. · Engages daily and ongoing with line inpatient... more

More Job Postings from the Web
May 30 CASE COORDINATOR Methodist Charlton Medical Center Dallas, TX

required. Working knowledge of InterQual or Milliman criteria for reviews. Familiar with regulations and rules for payment. This position is a PRN position - 4 - 5 days a month to... more

May 29 Defined Benefit Client Service Analyst Milliman Dallas, TX

interact within their team and with other Milliman teams (possibly across office locations) with a moderate amount of interaction with the client. A small amount of travel can be... more

May 29 Client Service Manager - Defined Benefit Milliman Dallas, TX

who outsource pension administration to Milliman. This position will be responsible ... Director of Pension Administration Services. Milliman's management has a history of... more

May 29 Client Service Manager - Defined Benefit - DENVER Milliman Dallas, TX

who outsource pension administration to Milliman. This position will be responsible ... Director of Pension Administration Services. Milliman's management has a history of... more

May 21 Utilization Review Nurse/ Appeals Nurse Trilogi Irving, TX

Management, experience using Interqual or Milliman & Robertson healthcare criteria or other cost management programs preferred. Experience in an acute care hospital is required. more

May 16 Surgery Center of Plano - Administrator Swedish Medical Center Plano, TX

Looking for an RN with Interqual/Milliman experience. D. Special qualifications: Knowledge of patient care practices. Strong patient assessment skills. Must be knowledgeable about... more

May 15 Technical Support Specialist Milliman Dallas, TX

and data manipulation * Coordinate with Milliman BRC (Benefits Resource Center) with ... InfoPath design and development, a plus Milliman is an Equal Opportunity Employer... more

May 03 Case Manager RN - THPG (in Euless) Job Texas Health Dallas, TX

Word, Excel and Powerpoint - Experience with Milliman criteria - Solid understanding of Insurance plans and quality measures. - Experience in a managed care environment. -... more

Apr 27 Appeals Nurse Trilogi Health Irving, TX

Experience using InterQual criteria or Milliman & Robertson healthcare criteria required. Experience in an acute care hospital required. Skills Strong communication,... more

Apr 26 Infrastructure Operations Engineer with Telephony Maxsys Solutions Dallas, TX

Important Qualities: Compatibility with Milliman Professionals, Effective Dealing with Clients, Sensitive to Quality and time constraints, Communication Skills, Flexibility, and... more

Apr 02 Benefits Service Representative Milliman Dallas, TX

issues in a call center environment. Milliman's management has a history of ... provide information from/to participants, Milliman employees, or partner companies. more

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