Case Manager (Compact RN license required)
Certification or other professional RN Certification, preferred InterQual and/or Milliman experience, preferred Superior...
Director of Care Coordination
. Master’s Degree in Nursing, or MBA preferred. Interqual Certified Instructor (ICQI) or Milliman training highly desired...
Lugar: Syracuse, NY | 19/02/2026 23:02:50 PM | Salario: S/. $150000 - 180000 per year | Empresa: Crouse Health
Multi-Site Director of Case Management
(LCSW), or Licensed Social Worker (LSW). 2. Current BCLS certificate preferred. 3. Knowledge of Milliman Criteria...
Lugar: Garden City, MI | 19/02/2026 23:02:40 PM | Salario: S/. No Especificado | Empresa: Garden City Hospital
Utilization Review Nurse
required ​ Experience At least 2-3 years of utilization review experience is highly preferred Experience using Interqual or Milliman...
Lugar: Somerville, MA | 19/02/2026 20:02:50 PM | Salario: S/. $58656 - 142448.8 per year | Empresa: Mass General Brigham Health Plan
Utilization Management Nurse RN
required, but Bachelor’s degree preferred. Basic knowledge of medical necessity criteria such as Milliman Care Guidelines or Interqual...
Lugar: Louisville, KY | 19/02/2026 20:02:59 PM | Salario: S/. No Especificado | Empresa: Signature HealthCARE
Utilization Review Nurse
experience required. Previous Utilization Review experience a plus. Milliman and JIVA preferred. Knowledge of NCQA preferred... shift incentives, or bonus opportunities Keywords: Utilization Review, Acute Care, RN, NCQA, Milliman, JIVA...
Lugar: Norfolk, VA | 19/02/2026 03:02:46 AM | Salario: S/. No Especificado | Empresa: Sentara Health
Case Manager RN - Social Work
BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
Lugar: Chicago, IL | 19/02/2026 01:02:58 AM | Salario: S/. No Especificado | Empresa: Saint Mary of Nazareth Hospital
Clinical Reviewer
criteria and/or Milliman Care Guidelines (MCG) experience. Knowledge of medical records, medical terminology, and disease...
Lugar: Indiana | 19/02/2026 01:02:18 AM | Salario: S/. No Especificado | Empresa: Acentra Health
RN Care Manager
, preferred. Recent working knowledge of Milliman Care Guidelines, preferred. License & Certifications: Active, unrestricted...
Lugar: Reno, NV | 19/02/2026 00:02:23 AM | Salario: S/. No Especificado | Empresa: TMC Bonham Hospital
Clinical Reviewer
necessity review experience. 1+ years of InterQual criteria and/or Milliman Care Guidelines (MCG) experience. Knowledge...
Lugar: USA | 18/02/2026 22:02:58 PM | Salario: S/. $39.19 per hour | Empresa: Acentra Health