Registered Nurse Lead Case Manager, Case Management, FT, 8A-4\:30P
improvement. Current working knowledge of Milliman Care Guidelines and Interqual criteria. Strong organizational and time...
improvement. Current working knowledge of Milliman Care Guidelines and Interqual criteria. Strong organizational and time...
, and social work personnel. Apply evidence-based utilization and discharge planning tools, including InterQual and Milliman...
of acute care nursing experience. preferred 6. CCM or obtained within 1year 7. Knowledge of Milliman Criteria and InterQual...
. preferred 6. CCM or obtained within 1year 7. Knowledge of Milliman Criteria and InterQual Criteria preferred. Employment...
and support services within established protocols Completes Utilization Management for assigned patients. a) Applies Milliman...
in a healthcare setting using electronic medical records or acute hospital utilization review using InterQual or Milliman...
certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Employment Status Full Time Shift...
or current multi state license required. Effective Jan 2026: Current MCG (Milliman Clinical Guideline) certification...
within 1year BS or BSN or related field preferred. Current BCLS certificate preferred. Knowledge of Milliman Criteria...
product strategy and roadmap — shape the vision, strategy, roadmap, and backlog for inbound Milliman-enriched data, outbound..., Data Governance, Architecture, Operations, and Milliman partners to identify high-value MedInsight opportunities and align...