Utilisation Management Leader - RN

and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission, continued stay, and level... necessity review expertise. Deep knowledge of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two...

Lugar: San Francisco, CA | 19/08/2026 17:08:22 PM | Salario: S/. No Especificado | Empresa: Mercor

Case Management Expert - AI Trainer

and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission, continued stay, and level... necessity review expertise. Deep knowledge of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two...

Lugar: Houston, TX | 19/08/2026 17:08:55 PM | Salario: S/. No Especificado | Empresa: Mercor

RN Case Manager

BCLS certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. Pay Transparency...

Lugar: Harlingen, TX | 14/08/2026 22:08:19 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare