RN Case Manager
Current BLS (AHA) certificate Knowledge of Milliman Criteria and InterQual Criteria Full benefits at Prime Healthcare...
Lugar: Gadsden, AL | 28/05/2026 23:05:05 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Utilization Review and Appeals Case Manager
-based criteria such as InterQual or Milliman Care Guidelines (MCG) to evaluate admissions, continued stays, and discharge...
Lugar: Stony Brook, NY | 28/05/2026 23:05:36 PM | Salario: S/. $89760 per year | Empresa: Stony Brook Medicine
Sr. Benefits Account Executive
in Benefit Point. Capable of Gathering and Analyzing ICAF, Milliman, Aggregate and DMW reports. Initiate own correspondence...
Lugar: Dallas, TX | 28/05/2026 21:05:30 PM | Salario: S/. No Especificado | Empresa: Marsh
RN Transitional Care Navigator-Population Health
within established protocols Completes Utilization Management for assigned patients. Applies Milliman Care Guidelines (Indicia...
Lugar: Warrenville, IL | 28/05/2026 20:05:23 PM | Salario: S/. No Especificado | Empresa: Edward-Elmhurst Health
Clinical Document Integrity Specialist 2, Managed Care Network Development Med Mgmt, FT, 8\:30A-5P
preferred. Experience in Milliman and Interqual preferred. Leadership experience, knowledge of legal aspects of coding... experience preferred. Experience using healthcare web based applications, Milliman, Interqual, etc. , preferred. * Basic...
Lugar: Boca Raton, FL | 28/05/2026 19:05:58 PM | Salario: S/. $74100.2 - 96330.26 per year | Empresa: Baptist Health
Mgr, Utilization Review and Audit Services 87500 - Case Management
medical necessity screening tools such as Milliman Care Guidelines (MCG) are utilized. Ensures initial and continued stay... appropriate medical necessity screening tools such as Milliman Care Guidelines (MCG) are utilized. Ensures clinical reviews...
Lugar: California | 28/05/2026 01:05:24 AM | Salario: S/. $126776 - 213990 per year | Empresa: Torrance Memorial
RN Clinical Coordinator Manager
Familiarity with CPT coding and ICD-10 terminology Knowledge of InterQual or Milliman Care Guidelines preferred Bilingual...
Lugar: Polk County, FL | 27/05/2026 21:05:54 PM | Salario: S/. No Especificado | Empresa: Palm Medical Centers
Clinical Coordinator / Case Manager
Knowledge of terminology CPT codes and ICD 10 Bilingual preferred Knowledge of InterQual or Milliman Care Guidelines preferred...
Lugar: Tampa, FL | 27/05/2026 21:05:14 PM | Salario: S/. No Especificado | Empresa: Palm Medical Centers
Director of Case Management
. Current BCLS certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-SM6...
Lugar: Lewiston, ME | 27/05/2026 19:05:27 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Utilization Review RN
years of Clinical experience in hospital or medical office/clinic setting. Experience with Milliman criteria. Preferred...
Lugar: Mission Hills, CA | 27/05/2026 18:05:23 PM | Salario: S/. No Especificado | Empresa: Providence Health & Services