Case Management Leader - Fully Remote

against InterQual, MCG, or Milliman care guidelines to support admission and level-of-care determinations. Manage the physician advisor... of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two-Midnight Rule, observation status regulations...

Lugar: San Francisco, CA | 02/07/2026 17:07:02 PM | Salario: S/. No Especificado | Empresa: Mercor

Case Management Supervisor - Social Work

of the medical record to assure all parameters for MCG/Milliman criteria/InterQual which includes the medical overview... of Milliman Criteria and InterQual Criteria preferred. Pay Transparency: Saint Mary of Nazareth Hospital offers competitive...

Lugar: Chicago, IL | 02/07/2026 17:07:46 PM | Salario: S/. $37.12 - 56.26 per hour | Empresa: Saint Mary of Nazareth Hospital

Case Manager, RN

of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...

Lugar: Whittier, CA | 01/07/2026 22:07:56 PM | Salario: S/. $48 per hour | Empresa: AHMC Healthcare

Case Manager LPN

is preferred. Current BLS certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-AM5...

Lugar: Kansas City, KS | 01/07/2026 20:07:28 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare

Utilisation Management Expert - RN

against InterQual, MCG, or Milliman care guidelines to support admission and level-of-care determinations. Manage the physician advisor... of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two-Midnight Rule, observation status regulations...

Lugar: New York City, NY | 01/07/2026 17:07:44 PM | Salario: S/. No Especificado | Empresa: Mercor