Case Manager RN

That Are a Plus: Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer...

Lugar: Mesquite, TX | 12/06/2026 00:06:15 AM | Salario: S/. No Especificado | Empresa: Prime Healthcare

Clinical Denials and Appeals RN

criteria such as InterQual and Milliman Care Guidelines. Perform retrospective medical record reviews to validate... To Have: Bachelor of Science in Nursing Master’s degree in Nursing Experience with InterQual and/or Milliman Care Guidelines...

Lugar: Birmingham, AL | 11/06/2026 01:06:24 AM | Salario: S/. $68000 - 113000 per year | Empresa: Guidehouse

RN Case Management Supervisor

patients Review medical records for admission and concurrent review requirements Apply MCG, Milliman, and InterQual criteria... BCLS certificate preferred Knowledge of Milliman Criteria and InterQual Criteria preferred Full benefits at Prime...

Lugar: Kansas City, KS | 11/06/2026 00:06:38 AM | Salario: S/. No Especificado | Empresa: Providence Medical Center