Part Time RN Care Manager-Weekend
adult patients. 6. Knowledge of InterQual or Milliman Care Guidelines preferred. Why Mercy? From day one, Mercy...
Lugar: Joplin, MO | 03/08/2026 02:08:29 AM | Salario: S/. No Especificado | Empresa: Mercy
Actuarial Intern - EB Consulting
Description : Milliman’s Employee Benefits Consulting Practice is seeking motivated college students for a full-time... years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies...
Lugar: Little Falls, NJ | 11/08/2026 19:08:52 PM | Salario: S/. No Especificado | Empresa: Milliman
Information Technology Support Fall 2026 Intern (Part-time) - Omaha (CMH Health)
support or sponsorship from Milliman now or in the future. Who We Are Independent for 75 years, Milliman delivers market... processing experience Experience working with Milliman IT professionals Attendance at professional staff meetings...
Utilization Management Nurse BWH
. Demonstrates working knowledge about different industry criteria sets like Milliman, and InterQual. 3. Demonstrates in depth... required (such as InterQual or Milliman) Knowledge, Skills and Abilities - Strong clinical assessment skills, excellent interpersonal skills...
Lugar: Boston, MA | 12/08/2026 01:08:01 AM | Salario: S/. No Especificado | Empresa: Mass General Brigham Health Plan
Case Manager, BSN- Care Coordination, Part-Time, Mullica Hill
. Ability to work independently, setting priorities to coordinate care plans efficiently. Working knowledge of Milliman...
Lugar: Mullica Hill, NJ | 11/08/2026 20:08:29 PM | Salario: S/. No Especificado | Empresa: Inspira Health Network
Registered Nurse (RN) - Case Manager
management, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria...
Lugar: Huntington Beach, CA | 29/07/2026 18:07:32 PM | Salario: S/. No Especificado | Empresa: Huntington Beach Hospital
Registered Nurse (RN) - Case Manager
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
Lugar: Huntington Beach, CA | 28/07/2026 20:07:44 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Utilization Management Clinical AI Reviewer
-coordination recommendations, and clinical review summaries. Compare AI outputs against InterQual, MCG, or Milliman criteria..., or Milliman clinical review criteria. Well-versed in CMS Two-Midnight Rule, observation status, and inpatient criteria...
Lugar: USA | 12/07/2026 17:07:01 PM | Salario: S/. No Especificado | Empresa: OpenTrain AI
APPEALS COORDINATOR
each case identified/referred for appeal based on Milliman Care Guidelines (MCG) or InterQual guidelines, determine the...
Lugar: Prince Frederick, MD | 09/07/2026 01:07:40 AM | Salario: S/. No Especificado | Empresa: CalvertHealth
Case Management Leader - Fully Remote
against InterQual, MCG, or Milliman care guidelines to support admission and level-of-care determinations. Manage the physician advisor... of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two-Midnight Rule, observation status regulations...
Lugar: San Francisco, CA | 02/07/2026 17:07:05 PM | Salario: S/. No Especificado | Empresa: Mercor