Case Manager, RN
of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...
Lugar: Whittier, CA | 13/01/2026 19:01:56 PM | Salario: S/. $48 per hour | Empresa: AHMC Healthcare
Nurse Reviewer (Registered Nurse) - Remote in US
setting required. Minimum of 2+ years utilization review or claims auditing experience required. Experience with Milliman...
Lugar: Alabama | 13/01/2026 18:01:55 PM | Salario: S/. $65000 - 75000 per year | Empresa: Gainwell Technologies
Case Manager RN
planning or nursing management, preferred. 4. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria...
Lugar: Evanston, IL | 11/01/2026 21:01:18 PM | Salario: S/. No Especificado | Empresa: Saint Francis Hospital
Director, Analytics
such as Milliman's HCG Product management training or analytics product delivery experience Physical Requirements Repetitive...
Lugar: Ankeny, IA | 11/01/2026 03:01:22 AM | Salario: S/. No Especificado | Empresa: Mom's Meals
Case Manager RN
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
Lugar: Evanston, IL | 11/01/2026 02:01:33 AM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Physician Advisor, Utilization Management (CA License Required)
. GENERAL DUTIES/RESPONSIBILITIES: 1. Processes second level reviews in compliance with Medicare/CMS: NCD, LCD and Milliman... classifications as well as continued stay reviews in compliance with CMS and Milliman guidelines. 3. Acts as a liaison between the...
Lugar: USA | 11/01/2026 01:01:25 AM | Salario: S/. No Especificado | Empresa: Alignment Healthcare
RN Care Manager
programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...
Lugar: White Plains, NY | 11/01/2026 00:01:21 AM | Salario: S/. $126160.32 - 160090.31 per year | Empresa: White Plains Hospital
Utilization Management Manager, PRN - Remote
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
Lugar: Chicago, IL | 10/01/2026 23:01:38 PM | Salario: S/. $32.71 - 40.98 per hour | Empresa: ScionHealth
AVP Managed Care and Clinical
applying medical management treatment guidelines, such as InterQual / McKesson, Milliman, or other practical management...
Lugar: Dallas, TX | 10/01/2026 23:01:56 PM | Salario: S/. No Especificado | Empresa: AmTrust Financial
Registered Nurse Case Manager
preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-WM1 Employment Status: Full Time Shift...
Lugar: East Liverpool, OH | 10/01/2026 03:01:38 AM | Salario: S/. No Especificado | Empresa: East Liverpool City Hospital