Clinical Denials and Appeals RN

criteria such as InterQual and Milliman Care Guidelines. Perform retrospective medical record reviews to validate... required Experience with InterQual and/or Milliman Care Guidelines, and electronic medical record systems. What Would Be Nice...

Lugar: Birmingham, AL | 04/04/2026 00:04:06 AM | Salario: S/. $68000 - 113000 per year | Empresa: Dovel Technologies

Care Manager

: Certification in Case or Care Management;experience using InterQual or Milliman;Master?s degree preferred. Business Unit...

Lugar: Atlanta, GA | 03/04/2026 21:04:16 PM | Salario: S/. No Especificado | Empresa: Piedmont Healthcare Inc.

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 | 03/04/2026 17:04:39 PM | Salario: S/. No Especificado | Empresa: Bestica

RN Clinical Coordinator

preferred. Experience in use of Milliman/InterQual criteria. General Skills: Essential computer skills. If you're...

Lugar: White Plains, NY | 03/04/2026 17:04:54 PM | Salario: S/. $61 - 79 per hour | Empresa: TEEMA

RN Care Manager-Full-time

transitional planning (education, aftercare, payer coordination) Conduct Utilization Review (UR) (InterQual / Milliman) Support... to Case Management / UR Knowledge of InterQual or Milliman criteria preferred Strong communication, organization...

Lugar: White Plains, NY | 03/04/2026 17:04:04 PM | Salario: S/. $61 - 79.14 per hour | Empresa: TEEMA GROUP

Registered Nurse

to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...

Lugar: Aurora, CO | 03/04/2026 02:04:34 AM | Salario: S/. $38.91 - 60.31 per hour | Empresa: UCHealth

Utilization Management RN

to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...

Lugar: Parker, CO | 03/04/2026 02:04:15 AM | Salario: S/. $38.91 - 60.31 per hour | Empresa: UCHealth

Utilization Management RN

to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...

Lugar: Lakewood, CO | 03/04/2026 02:04:48 AM | Salario: S/. $38.91 - 60.31 per hour | Empresa: UCHealth