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9 fresh jobs found
Utilization Management (UM) Nurse - Pre-Service (Must have RN / LVN California Licensure)
Remote-US, California, United States Alignment Health logo Alignment Health
ABQAURP Referral System Managed Care Plans CPHQ Proficient Computer Milliman guidelines LVN California licensure Medicare managed care plans +28
Mid Full Time
USD 74K+
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Primary Nurse Case Admin
Richardson Texas HQ (1001 E. Lookout Drive) Health Care Service Corporation logo Health Care Service Corporation
Wellness education Medical Management Policies Milliman guidelines Condition Management Database experience Lotus Notes PC Proficiency Disease Management Clinical Practice +24
Mid Full Time
USD 58K+
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Telephonic Utilization Management Nurse (South Central Region)
Remote US Humana logo Humana
CCM certification MCG guidelines Triage experience Milliman guidelines Health Plan Experience Interpreting Criteria Interqual guidelines Medical Services Clinical Nursing +43
Mid Full Time
USD 69K+
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Primary Nurse Case Admin I - Infusion Site of Care
Richardson Texas HQ (1001 E. Lookout Drive) Health Care Service Corporation logo Health Care Service Corporation
Medical Management Policies Wellness education Milliman guidelines Condition Management Database experience Lotus Notes PC Proficiency Disease Management Clinical Practice +24
Mid Full Time
USD 58K+
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Primary Nurse Case Admin I - CM - TX
Richardson Texas HQ (1001 E. Lookout Drive) Health Care Service Corporation logo Health Care Service Corporation
Wellness education Medical Management Policies Milliman guidelines Condition Management Database experience Lotus Notes PC Proficiency Disease Management Clinical Practice +24
Mid Full Time
USD 58K+
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Primary Nurse Case Admin l - Richardson, TX
Richardson Texas HQ (1001 E. Lookout Drive) Health Care Service Corporation logo Health Care Service Corporation
Wellness education Medical Management Policies Milliman guidelines Database experience Condition Management Lotus Notes PC Proficiency Disease Management Clinical Practice +24
Mid Full Time
USD 58K+
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Primary Nurse Case Admin I - UM / TX
Richardson Texas HQ (1001 E. Lookout Drive) Health Care Service Corporation logo Health Care Service Corporation
Wellness education Medical Management Policies Milliman guidelines Database experience Condition Management Lotus Notes PC Proficiency Disease Management Clinical Practice +24
Mid Full Time
USD 58K+
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Primary Nurse Case Admin I - NICU - TX
Richardson Texas HQ (1001 E. Lookout Drive) Health Care Service Corporation logo Health Care Service Corporation
One note Wellness education Medical Management Policies Milliman guidelines Database experience Condition Management PC Proficiency Disease Management Clinical Practice +23
Mid Full Time
USD 58K+
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Primary Nurse Case Admin I - TX
Richardson Texas HQ (1001 E. Lookout Drive) Health Care Service Corporation logo Health Care Service Corporation
Health care coordination Wellness education Medical Management Policies Milliman guidelines Database experience Condition Management Lotus Notes PC Proficiency Disease Management +25
Mid Full Time
USD 58K+
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