Intake Case Manager
of Milliman Criteria and InterQual Criteria preferred. 6. Knowledge of psychiatric medical necessity, case management...
Lugar: Woonsocket, RI | 14/02/2026 00:02:28 AM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Utilization Management Nurse BWH
. Demonstrates working knowledge about different industry criteria sets like Milliman, and InterQual. 3. Demonstrates in depth... required (such as InterQual or Milliman) Knowledge, Skills and Abilities - Strong clinical assessment skills, excellent interpersonal skills...
Lugar: Somerville, MA | 13/02/2026 20:02:54 PM | Salario: S/. No Especificado | Empresa: Mass General Brigham Health Plan
Sr. Benefits Account Executive
in Benefit Point. Capable of Gathering and Analyzing ICAF, Milliman, Aggregate and DMW reports. Initiate own correspondence...
Lugar: Dallas, TX | 13/02/2026 20:02:48 PM | Salario: S/. No Especificado | Empresa: Marsh McLennan
Clinical Evaluation Manager - Utilization Management
and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed...
Lugar: New York City, NY | 13/02/2026 18:02:49 PM | Salario: S/. $85000 per year
Health Services - Utilization Management Specialist
mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM (American Society of Addiction...
Lugar: Baltimore, MD | 12/02/2026 23:02:24 PM | Salario: S/. No Especificado | Empresa: Ampcus
Utilization Management Manager- Remote PRN
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
Lugar: Philadelphia, PA | 12/02/2026 23:02:21 PM | Salario: S/. No Especificado | Empresa: ScionHealth
RN, Care Manager, Utilization Management
with Milliman Care Guidelines (MCG) UM chart review in EPIC within the last 12 months: Required Licenses/Certifications...
Lugar: Portland, OR | 12/02/2026 19:02:55 PM | Salario: S/. No Especificado | Empresa: Adventist Health
RN, Care Manager, Utilization Management
with Milliman Care Guidelines (MCG) UM chart review in EPIC within the last 12 months: Required Licenses/Certifications...
Lugar: Portland, OR | 12/02/2026 18:02:00 PM | Salario: S/. No Especificado | Empresa: Adventist Health
Utilization Management Manager- Remote
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
Lugar: Philadelphia, PA | 12/02/2026 03:02:48 AM | Salario: S/. No Especificado | Empresa: ScionHealth
Inpatient Utilization Management RN - Remote - Pacific Time Zone hours
or insurance setting Experience applying Medicare and/or Medicaid guidelines Experience with Milliman (MCG) or InterQual...
Lugar: Seattle, WA | 12/02/2026 03:02:21 AM | Salario: S/. $60200 - 107400 per year | Empresa: Change Healthcare