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Were you looking for Milliman-Criteria job results?
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Online Resumes with "Milliman Criteria"
Registered Nurse, Case Manager
• Assisting with special projects (client support, evidence based guidelines projects etc) • Making outbound calls to assess members' current health status • Identifying gaps or barriers in treatment plans • Providing patient education to assist with self management • Interacting with Medical Directors on challenging cases • Coordinating care for members • Making referrals to outside sources • Coordinating services as neede...
Tags for this Online Resume: HealthCare, Registered Nurse, Case Manager, Disease Manager, Nursing, Nurse
Utilization Review Nurse- 7 years experience
Continue working within the area of utilization review while using my nursing experience and clinical skills that I have already honed.
Tags for this Online Resume: medical review, clinical documentation, Medical policy & procedure, use of Interqual criteria, use of Milliman criteria, Medicaid and private insurance
Utilization Review RN
Rn with extensive managed care, utilization review/management, seeking a job in Utilization review. Also experienced in Interqual criteria and familiar with Milliman criteria as well as Medicare and Medicaid. I would like to become certified in UR or CM in the near future.
Certified Case Manager, Indianapolis, IN
Tags for this Online Resume: integrated case management, Stastics, Milliman Criteria, Interqual Criteria , Discharger Planning, Care Coordinating
Registered Nurse - 30 Years of Experience, 20 years experience in Utilization Review - Near 43068
I am seeking a position in Utilization Review. I have been a Registered Nurse for 30 years with the last 20 doing Utilization Review. I have experience with InterQual and Milliman Criteria.
Tags for this Online Resume: RN, Case manager, Utilization Review, insurance
Registered Nurse - 10 Years of Experience - Near 85132
I have been a nurse since 1999. I worked as an LPN from 1999 until 2009 when I graduated from the University of Phoenix with my BSN. I was a part of the first graduating class of the LPN to BSN bridge at the University of Phoenix. In the clinical setting I have worked in the long-term care, sub-acute and medical-surgical settings. I began my career in managed care at TriWest Healthcare Alliance as a prior authorization nur...
Tags for this Online Resume: Phoenix, Prior Authorization, Utilization Review, Managed Care, Case Mgmt, MS Office, Medicare, Medicaid
