RN Care Manager
of Milliman/InterQual criteria. General Skills: Essential computer skills....
Lugar: White Plains, NY | 27/05/2026 17:05:42 PM | Salario: S/. $61 - 79 per hour | Empresa: White Plains
Utilization Management Manager REMOTE Full Time
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
Lugar: Las Vegas, NV | 23/05/2026 21:05:23 PM | Salario: S/. $66700 - 100500 per year | Empresa: ScionHealth
Case Manager LPN
is preferred. Current BLS certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-AM5...
Lugar: Kansas City, KS | 23/05/2026 20:05:36 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
HR Generalist-Comp Specialist
and coordinate with vendors (e.g. Milliman) and the investment committee. Develop, maintain and update compensation structures...
Lugar: Shelbyville, IN | 23/05/2026 20:05:47 PM | Salario: S/. No Especificado | Empresa: Major Health Partners
Case Manager LPN
. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-AM5 Employment Status: Per Diem Shift: Variable Equal...
Lugar: Kansas City, KS | 23/05/2026 17:05:23 PM | Salario: S/. No Especificado | Empresa: Providence Medical Center
Registered Nurse Care Manager
): Conduct thorough clinical reviews using established guidelines (such as Milliman or InterQual) to manage commercial payer... Knowledge: Hands-on experience utilizing InterQual or Milliman Criteria for utilization review. Location and Work Type Work...
Lugar: White Plains, NY | 23/05/2026 17:05:33 PM | Salario: S/. $126000 - 160000 per year | Empresa: TEEMA
Care Manager
using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
Lugar: Snellville, GA | 23/05/2026 01:05:27 AM | Salario: S/. No Especificado | Empresa: Piedmont Healthcare Inc.
RN Transitional Care Navigator - Population Health
within established protocols Completes Utilization Management for assigned patients. Applies Milliman Care Guidelines (Indicia...
Lugar: Skokie, IL | 23/05/2026 00:05:55 AM | Salario: S/. No Especificado | Empresa: Edward-Elmhurst Health
Appeals and Grievances - RN, Senior
from an authorized representative. The RNs perform first level appeal reviews for members utilizing Milliman Care Guidelines, Member...
Lugar: Long Beach, CA | 22/05/2026 20:05:56 PM | Salario: S/. No Especificado | Empresa: Blue Shield of California
Director of Case Management - Utilization Management
and knowledge in basic to intermediate computer skills. 1. Current BCLS certificate preferred. 2. Knowledge of Milliman Criteria...
Lugar: Inglewood, CA | 22/05/2026 20:05:14 PM | Salario: S/. $108160 - 163800 per year | Empresa: Prime Healthcare