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Milliman Care Guidelines jobs

Explore Milliman Care Guidelines roles on NurseBloom and apply today.

E2E Alignment Healthcare USA, LLC logoEA

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

E2E Alignment Healthcare USA, LLC

Alabama, United States + 28 more (Remote)

$77.9K – $116.9K Yearly3w ago
Utilization Management
Case Management
Utilization Management
Prior Authorization
Palm Medical Centers logoPM

APRN – Medical Management (Value-Based Care)

Palm Medical Centers

Florida, United States (Remote)

3mo ago
Nurse Practitioner
Medical Management
Value-Based Care
Primary Care
Guidehouse logoGU

Clinical Denials and Appeals RN

Guidehouse

United States (Remote)

$68K – $113K Yearly2w ago
Clinical Appeals Nurse
Nursing
InterQual
Milliman Care Guidelines
Humana International Group logoHI

Utilization Management Registered Nurse

Humana International Group

Alabama, United States (Remote)

$71.1K – $97.8K Yearly3w ago
Registered Nurse
Utilization Management
Utilization Management
Compact Registered Nurse (RN) License
CareSource logoCA

Clinical Appeals

CareSource

Indiana, United States (Remote)

$62.7K – $100.4K Yearly2d ago
Nursing
Case Management
Microsoft Office
Facets
CareSource logoCA

Clinical Appeals Nurse

CareSource

Indiana, United States (Remote)

$62.7K – $100.4K Yearly1w ago
Clinical Appeals
Utilization Management
Clinical Appeals
State Hearings
Molina Healthcare, Inc. logoMH

Care Review Clinician (RN)

Molina Healthcare, Inc.

United States (Remote)

3d ago
Clinical Review
Utilization Management
Clinical Guidelines
Medical Necessity Review