Case Manager RN
(AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
Lugar: Woonsocket, RI | 11/01/2025 00:01:47 AM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Case Manager RN - Full-time Days
planning or nursing management, preferred. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria...
Lugar: Blue Springs, MO | 10/01/2025 23:01:18 PM | Salario: S/. No Especificado | Empresa: St. Mary's Medical Center
Case Manager
. Knowledge of Milliman Criteria and InterQual Criteria preferred....
Lugar: Aurora, IL | 10/01/2025 23:01:39 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Utilization Review Coordinator-Utilization Review Full Time Days
relative to established admission criteria using Milliman and communicates that information to payers, physicians.../authorization numbers for patients. Run reviews through Milliman and, if criteria meets, discuss with Case Manager...
Lugar: Palos Heights, IL | 10/01/2025 23:01:04 PM | Salario: S/. No Especificado | Empresa: Northwestern Medicine
RN Care Manager
programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...
Lugar: White Plains, NY | 10/01/2025 22:01:23 PM | Salario: S/. No Especificado | Empresa: White Plains Hospital
PRN Utilization Review Nurse Reviewer - RN
of treatments (e.g., CMS, Milliman Care Guidelines, InterQual, or health plan specific guidelines/criteria). Examine and evaluate...
Lugar: USA | 10/01/2025 21:01:44 PM | Salario: S/. No Especificado | Empresa: Sane Street
Nurse Practitioner In-Home Visits - Pasco County, FL
of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems...
Lugar: New Port Richey, FL | 10/01/2025 18:01:10 PM | Salario: S/. $89800 - 176700 per year | Empresa: UnitedHealth Group
PRN Utilization Review Nurse Reviewer - RN
criteria and guidelines, ensuring the medical necessity of treatments (e.g., CMS, Milliman Care Guidelines, InterQual...
Lugar: USA | 10/01/2025 18:01:25 PM | Salario: S/. No Especificado | Empresa: Dane Street, LLC
PRN Utilization Review Nurse Reviewer - LPN
criteria and guidelines, ensuring the medical necessity of treatments (e.g., CMS, Milliman Care Guidelines, InterQual...
Lugar: USA | 10/01/2025 18:01:44 PM | Salario: S/. No Especificado | Empresa: Dane Street, LLC
Nurse Practitioner In-Home Visits - Pasco County, FL
, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Bilingual in English/Spanish...
Lugar: New Port Richey, FL | 10/01/2025 18:01:14 PM | Salario: S/. $89800 - 176700 per year | Empresa: UnitedHealth Group