Registered Nurse
for complex cases. Assists departmental staff with issues related to Milliman (or similar) guidelines, status determination...
Lugar: Aurora, CO | 05/04/2026 02:04:31 AM | Salario: S/. $38.91 - 60.31 per hour | Empresa: UCHealth
Utilization Management RN
for complex cases. Assists departmental staff with issues related to Milliman (or similar) guidelines, status determination...
Lugar: Peyton, CO | 05/04/2026 02:04:53 AM | Salario: S/. $38.91 - 60.31 per hour | Empresa: UCHealth
Clinical Denials and Appeals Nurse Specialist
is responsible for managing appeal processes, reviewing and understanding clinical guidelines (like Milliman/InterQual... of care (inpatient, observation, outpatient). Applies clinical guidelines (InterQual/Milliman) to validate medical necessity...
Lugar: Norwood, OH | 04/04/2026 20:04:16 PM | Salario: S/. No Especificado | Empresa: TriHealth
Clinical Review Nurse
•Milliman Care Guidelines (MCG), Managed Care and NCQA experience preferred...
Lugar: Alameda, CA | 04/04/2026 17:04:41 PM | Salario: S/. No Especificado | Empresa: A-Line Staffing Solutions
Registered Nurse Case Manager
post-acute clinical payer authorizations. - Utilize InterQual and Milliman guidelines for reviews. - Conduct concurrent...
Lugar: Santa Barbara, CA | 04/04/2026 17:04:26 PM | Salario: S/. No Especificado | Empresa: vTech Solution
Clinical Denials and Appeals RN
criteria such as InterQual and Milliman Care Guidelines. Perform retrospective medical record reviews to validate... required Experience with InterQual and/or Milliman Care Guidelines, and electronic medical record systems. What Would Be Nice...
Lugar: Birmingham, AL | 03/04/2026 21:04:33 PM | Salario: S/. $68000 - 113000 per year | Empresa: Dovel Technologies
Care Manager
: Certification in Case or Care Management;experience using InterQual or Milliman;Master?s degree preferred. Business Unit...
Lugar: Atlanta, GA | 03/04/2026 18:04:02 PM | Salario: S/. No Especificado | Empresa: Piedmont Healthcare Inc.
RN Clinical Coordinator
preferred. Experience in use of Milliman/InterQual criteria. General Skills: Essential computer skills. If you're...
Lugar: White Plains, NY | 03/04/2026 17:04:58 PM | Salario: S/. $61 - 79 per hour | Empresa: TEEMA
RN Care Manager-Full-time
transitional planning (education, aftercare, payer coordination) Conduct Utilization Review (UR) (InterQual / Milliman) Support... to Case Management / UR Knowledge of InterQual or Milliman criteria preferred Strong communication, organization...
Lugar: White Plains, NY | 03/04/2026 17:04:33 PM | Salario: S/. $61 - 79.14 per hour | Empresa: TEEMA GROUP
Registered Nurse
to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...
Lugar: Aurora, CO | 03/04/2026 02:04:13 AM | Salario: S/. $38.91 - 60.31 per hour | Empresa: UCHealth