RN Appeals Writer
using electronic medical records or acute hospital utilization review using InterQual or Milliman. Working knowledge...
Lugar: Atlanta, GA | 13/01/2026 21:01:58 PM | Salario: S/. No Especificado | Empresa: Piedmont Healthcare Inc.
Director of Care Coordination
) and/or Health Care Quality (CPHQ) Master’s degree in Nursing or MBA Interqual Certified Instructor (ICQI) or Milliman training...
Lugar: Syracuse, NY | 13/01/2026 20:01:58 PM | Salario: S/. No Especificado | Empresa: M3 Placement
Case Manager RN
planning or nursing management, preferred. 4. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria...
Lugar: Evanston, IL | 11/01/2026 19:01:42 PM | Salario: S/. No Especificado | Empresa: Saint Francis Hospital
Case Manager RN
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
Lugar: Evanston, IL | 11/01/2026 00:01:57 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 | 10/01/2026 21:01:44 PM | Salario: S/. No Especificado | Empresa: Alignment Healthcare
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 20:01:28 PM | Salario: S/. No Especificado | Empresa: AmTrust Financial
Director, Analytics
such as Milliman's HCG Product management training or analytics product delivery experience Physical Requirements Repetitive...
Lugar: Ankeny, IA | 10/01/2026 18:01:46 PM | Salario: S/. No Especificado | Empresa: Mom's Meals
Registered Nurse Case Manager
current;5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic...
Lugar: Philadelphia, PA | 10/01/2026 03:01:43 AM | Salario: S/. No Especificado | Empresa: Roxborough Memorial Hospital
AVP Managed Care and Clinical
applying medical management treatment guidelines, such as InterQual / McKesson, Milliman, or other practical management...
Lugar: Dallas, TX | 09/01/2026 23:01:49 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 | 09/01/2026 22:01:17 PM | Salario: S/. No Especificado | Empresa: East Liverpool City Hospital