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 17:07:11 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 17:07:58 PM | Salario: S/. No Especificado | Empresa: Mercor

UM Nurse

, Medicaid/Medi-cal criteria, Interqual, Milliman, or Health Plan specific guidelines Collaborate with the Medical Director...

Lugar: California | 12/06/2026 23:06:58 PM | Salario: S/. No Especificado | Empresa: Enterprise Engineering
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