RN Care Manager
programs strongly preferred. Experience in use of Milliman/InterQual criteria. General Skills: Essential computer skills...
Lugar: White Plains, NY | 02/04/2026 17:04:55 PM | Salario: S/. $61 - 79 per hour | Empresa: TEEMA
RN Clinical Trainer, Utilization Management - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)
of Utilization Management in a managed care environment required and 1-3 years experience working with Milliman Care Guidelines (MCG...
Lugar: Denver, CO | 01/04/2026 19:04:18 PM | Salario: S/. $86000 - 133400 per year | Empresa: Denver Health
Care Management Representative
in the medical record according to policy guidelines. Utilizes MCG- Milliman criteria to identify severity of illness...
Lugar: Saratoga Springs, NY | 26/03/2026 19:03:41 PM | Salario: S/. No Especificado | Empresa: Saratoga Hospital
Account Manager
will have some travel opportunities, potentially 2-5 days per year. At Milliman we strive to deliver the best products and services... with us in that mission. Who We Are Independent for over 75 years, Milliman delivers market-leading services and solutions to clients...
Care Management Representative
in the medical record according to policy guidelines. Utilizes MCG- Milliman criteria to identify severity of illness...
Lugar: Saratoga Springs, NY | 18/03/2026 21:03:06 PM | Salario: S/. No Especificado | Empresa: Saratoga Hospital
Quality Analyst (Remote, LPN/RN Required)
., CMS, Milliman Care Guidelines, InterQual, or health plan specific guidelines/criteria). Examine and evaluate patient...
Lugar: Estados Unidos | 18/03/2026 19:03:38 PM | Salario: S/. $45000 - 70000 per year | Empresa: Sane Street
Registered Nurse - Care Manager
reviews using Milliman/InterQual criteria Advocate for patient needs while ensuring appropriate care levels and resource use... in Milliman/InterQual criteria Strong computer and documentation skills Why Work in White Plains, NY? Vibrant, growing city...
Lugar: White Plains, NY | 17/03/2026 18:03:29 PM | Salario: S/. No Especificado | Empresa: Sanctuary Personnel
Manager - RN - Case Management - FT - Days - MRH
with Interqual or Milliman guidelines and use. Proficient in process improvement, and performance monitoring. Required Work...
Lugar: Estados Unidos | 15/03/2026 21:03:00 PM | Salario: S/. No Especificado | Empresa: Memorial Healthcare System
Registered Nurse - Inpatient Care Coordinator - Per Diem - 8 Hour Days
, appropriateness of care and level of care. Use Milliman and Interqual guidelines as necessary. Collaborates with clinical teams...
Lugar: Beverly Hills, CA | 15/03/2026 03:03:18 AM | Salario: S/. No Especificado | Empresa: Cedars-Sinai
Nurse Case Manager - Utilization
compliance with applicable criteria, medical policy, member eligibility, benefits and vendor contracts. Apply Milliman Care... in Case Management a plus Proficient in application and use of industry standard Utilization Management criteria (Milliman...
Lugar: Nueva York, NY | 15/03/2026 02:03:37 AM | Salario: S/. No Especificado | Empresa: 1199SEIU Funds