UM Nurse
, Medicaid/Medi-cal criteria, Interqual, Milliman, or Health Plan specific guidelines Collaborate with the Medical Director...
Lugar: California | 12/06/2026 21:06:44 PM | Salario: S/. No Especificado | Empresa: Enterprise Engineering
Case Manager RN
That Are a Plus: Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer...
Lugar: Mesquite, TX | 12/06/2026 02:06:32 AM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Case Manager RN
. Additional Qualifications That Are a Plus: Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience...
Lugar: Mesquite, TX | 12/06/2026 01:06:32 AM | Salario: S/. No Especificado | Empresa: Dallas Regional Medical Center
Case Manager - Utilization Management
preferred. CCM or obtained within 1year Current BCLS certificate preferred. Knowledge of Milliman Criteria and InterQual...
Lugar: Anaheim, CA | 12/06/2026 00:06:28 AM | Salario: S/. No Especificado | Empresa: West Anaheim Medical Center
RN Utilization Review Case Manager
Cross BLS) certification Preferred: Knowledge of InterQual and/or Milliman criteria Experience Qualifications: Minimum...
Lugar: Granite City, IL | 11/06/2026 17:06:29 PM | Salario: S/. $32 - 48 per hour | Empresa: Gateway Regional Medical Center
Registered Nurse - Case Management
. Current BCLS (AHA) certificate upon hire and maintain current;5. Knowledge of Milliman Criteria and InterQual Criteria...
Lugar: Philadelphia, PA | 11/06/2026 02:06:01 AM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Clinical Denials and Appeals RN
criteria such as InterQual and Milliman Care Guidelines. Perform retrospective medical record reviews to validate... To Have: Bachelor of Science in Nursing Master’s degree in Nursing Experience with InterQual and/or Milliman Care Guidelines...
Lugar: Birmingham, AL | 11/06/2026 02:06:47 AM | Salario: S/. $68000 - 113000 per year | Empresa: Guidehouse
Case Manager - RN
nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual Criteria...
Lugar: Garden City, MI | 11/06/2026 01:06:23 AM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Registered Nurse - Case Management
current;5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic...
Lugar: Philadelphia, PA | 10/06/2026 23:06:46 PM | Salario: S/. No Especificado | Empresa: Roxborough Memorial Hospital
Actuarial Consultant, Life Modeling - Remote
Milliman’s MG-ALFA/Integrate and Moody’s GGY AXIS. Strong development environment with support for continued technical... experience with a strong foundation in life insurance. Proven hands-on actuarial modeling experience, ideally in Milliman’s MG...
Lugar: Columbus, OH | 10/06/2026 22:06:01 PM | Salario: S/. No Especificado | Empresa: Nationwide Mutual Insurance Company