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 | 19/06/2026 02:06:51 AM | Salario: S/. No Especificado | Empresa: Mercy
Inpatient Review Nurse (Remote | California RN/LVN License Required | Part-Time | Weekends | Pacific Time Schedule)
case management skills. Minimum of two years of experience utilizing Milliman Care Guidelines to justify Inpatient versus...
Lugar: California | 21/07/2026 20:07:48 PM | Salario: S/. $77905 - 116858 per year | Empresa: Alignment 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 17:07:33 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 | 08/07/2026 22:07:07 PM | 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 17:07:02 PM | Salario: S/. No Especificado | Empresa: Mercor
Utilisation Management Expert - RN
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: New York City, NY | 01/07/2026 17:07:44 PM | Salario: S/. No Especificado | Empresa: Mercor
Registered Nurse - Utilization Management - Per Diem
or current multi state license required. Effective Jan 2026: Current MCG (Milliman Clinical Guideline) certification...
Lugar: Egg Harbor Township, NJ | 29/06/2026 20:06:58 PM | Salario: S/. No Especificado | Empresa: AtlantiCare
Case Manager RN
of acute care nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual...
Lugar: Garden City, MI | 25/06/2026 18:06:37 PM | Salario: S/. No Especificado | Empresa: Garden City Hospital
Case Manager RN
nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual Criteria...
Lugar: Garden City, MI | 24/06/2026 23:06:51 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
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 | 19/06/2026 00:06:58 AM | Salario: S/. No Especificado | Empresa: Mercy