RN Case Manager
Current BLS (AHA) certificate Knowledge of Milliman Criteria and InterQual Criteria Full benefits at Prime Healthcare...
Lugar: Gadsden, AL | 31/03/2026 23:03:48 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Registered Nurse/ Medicaid Clinical Reviewer
, Utilization, Billing, and coding review;InterQual and Milliman experience required Technical Skills: Proficiency with Microsoft...
Lugar: Nueva York, NY | 31/03/2026 23:03:21 PM | Salario: S/. $50 per hour | Empresa: Greenlife Healthcare Staffing
Intake Case Manager (non-RN) - SJH Psych Acute Adult
experience, preferred. 5. Experience in psychiatric emergency and triage preferred. 6. Knowledge of Milliman Criteria...
Lugar: Leavenworth, KS | 31/03/2026 22:03:01 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Actuarial Technical Consultant (C#/.NET Developer)– REMOTE - Actuarial Technology (ATOM) Team
or Tableau Actuarial domain familiarity or modeling platform experience (GGY AXIS, Milliman Integrate) Why This Role Stands...
Lugar: Columbus, OH | 31/03/2026 21:03:30 PM | Salario: S/. No Especificado | Empresa: Nationwide Mutual Insurance Company
Utilization Management Manager- Remote
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
Lugar: Philadelphia, PA | 31/03/2026 20:03:45 PM | Salario: S/. No Especificado | Empresa: ScionHealth
Registered Nurse Care Coordinator- Inpatient Specialty Program - 8 Hour Days $5K Sign on Bonus
, appropriateness of care and level of care. Use Milliman and Interqual guidelines as necessary. Collaborates with clinical teams...
Lugar: California | 31/03/2026 19:03:22 PM | Salario: S/. No Especificado | Empresa: Cedars-Sinai
Care Coordinator Supervisor, RN
management. 2. Current Standards of Care & Criteria, working knowledge of Intequal and/or Milliman. 3. Ability to train...
Lugar: Atlanta, GA | 31/03/2026 18:03:52 PM | Salario: S/. No Especificado | Empresa: Northside Hospital
RN Case Manager
At least one-year experience in case management, discharge planning or management Current BLS (AHA) certificate Knowledge of Milliman...
Lugar: Gadsden, AL | 31/03/2026 18:03:00 PM | Salario: S/. No Especificado | Empresa: Riverview Regional Medical Center
Registered Nurse/ Medicaid Clinical Reviewer
review;InterQual and Milliman experience required Technical Skills: Proficiency with Microsoft Outlook, Word...
Lugar: Nueva York, NY | 31/03/2026 17:03:30 PM | Salario: S/. $50 per hour | Empresa: Greenlife Healthcare Staffing
Registered Nurse - Utilization Review
no call or floating required MUST HAVE experience with Milliman Care Guidelines and Acute Hospital Experience! The... Authorizations Utilize Milliman Guidelines CMS: Centers for Medicare and Medicaid Services CPT (Current Procedural Terminology...
Lugar: Whittier, CA | 31/03/2026 17:03:13 PM | Salario: S/. No Especificado | Empresa: Bestica