Clinical Evaluation Manager, Utilization Management
of Milliman criteria (MCG) preferred. Pay Range: USD $85,000.00 - USD $106,300.00 /Yr....
Lugar: New York City, NY | 23/07/2026 18:07:04 PM | Salario: S/. $85000 per year | Empresa: VNS Health
Clinical Evaluation Manager, Utilization Management
of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan...
Lugar: New York City, NY | 23/07/2026 18:07:53 PM | Salario: S/. $85000 per year | Empresa: VNS Health
CASE MANAGER - South Campus
and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance...
Lugar: Centerville, OH - Miami, FL | 23/07/2026 02:07:55 AM | Salario: S/. No Especificado | Empresa: Premier Health
Director of Case Management
certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Employment Status Full Time Shift...
Lugar: Reno, NV | 23/07/2026 02:07:27 AM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Clinical Documentation Specialist RN
. Uses Milliman and Medicare and other appropriate resources. Maintains liaison with the inpatient case manager...
Lugar: Hackensack, NJ | 23/07/2026 01:07:04 AM | Salario: S/. $97011.2 per year | Empresa: Hackensack Meridian Health
CASE MANAGER
resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines and third...
Lugar: Miami, FL - Dayton, OH | 23/07/2026 01:07:31 AM | Salario: S/. No Especificado | Empresa: Premier Health
Clinical Evaluation Manager
required Knowledge of Medicaid and/or Medicare regulations required. Knowledge of Milliman criteria (MCG) preferred...
Lugar: New York City, NY | 23/07/2026 00:07:26 AM | Salario: S/. $85000 per year | Empresa: VNS Health
Outpatient UM Coordinator
clinical criteria (e.g., InterQual, Milliman) to support medical necessity determinations Communicate authorization decisions... operations strongly preferred Knowledge of InterQual or Milliman clinical criteria guidelines is a plus Strong understanding...
Lugar: Sherman Oaks, CA | 22/07/2026 17:07:56 PM | Salario: S/. $21 - 23 per hour | Empresa: MedPOINT Management
Director of Case Management - Social Work
preferred. 3. Current BCLS certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. Pay...
Lugar: Chicago, IL | 18/07/2026 18:07:54 PM | Salario: S/. No Especificado | Empresa: Saint Mary of Nazareth Hospital
RN - Care Management, WEO
using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
Lugar: Snellville, GA | 17/07/2026 18:07:17 PM | Salario: S/. No Especificado | Empresa: Piedmont Healthcare Inc.