Care Manager RN - Peak Health

and/or Milliman Care Guidelines 2. Demonstrated knowledge of federal and state laws, NCQA and industry regulations related...

Lugar: USA | 08/07/2026 19:07:42 PM | Salario: S/. No Especificado | Empresa: WVU Medicine

MED SURG RN

criteria or Milliman experience: Prefer some knowledge of CarePort, MCG, and/or InterQual. Prefer some Utilization Review...

Lugar: The Bronx, NY | 06/07/2026 17:07:38 PM | Salario: S/. No Especificado | Empresa: Gotham Companies

Case Management Supervisor - Social Work

and comprehensive admission and concurrent review of the medical record to assure all parameters for MCG/Milliman criteria/InterQual.... Current BCLS certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. Pay Transparency...

Lugar: Saint Mary, MT | 02/07/2026 20:07:29 PM | Salario: S/. $37.12 - 56.26 per hour | Empresa: Prime Healthcare