Case Manager - RN
nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual Criteria...
Lugar: Garden City, MI | 10/06/2026 21:06:41 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
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 | 10/06/2026 20:06:12 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Case Manager - Utilization Management
preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Pay Transparency West Anaheim Medical Center...
Lugar: Anaheim, CA | 10/06/2026 18:06:53 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Registered Nurse Case Manager
or nursing management, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Behavioral Violence...
Lugar: Kansas City, KS | 09/06/2026 22:06:11 PM | Salario: S/. No Especificado | Empresa: Providence Medical Center
Registered Nurse Case Manager
or nursing management, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Behavioral Violence...
Lugar: Kansas City, KS | 09/06/2026 22:06:31 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Chart Auditor - Glendale
, preventing downstream denials. Applies InterQual or Milliman/MCG criteria to validate patient status decisions and payer medical...
Lugar: Glendale, CA | 09/06/2026 20:06:49 PM | Salario: S/. No Especificado | Empresa: Adventist Health
Utilization Management Specialist (RN): Salary, 40hrs/week - DAYS
communication skills and critical thinking skills. Experience with Milliman MCG, InterQual criteria, and knowledge of IPRO...
Lugar: Albany, NY | 07/06/2026 17:06:34 PM | Salario: S/. $84783 - 131414 per year | Empresa: Albany Med Health System
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 | 07/06/2026 02:06:04 AM | Salario: S/. No Especificado | Empresa: Huntington Beach Hospital
Supervisor Case Management
Committee for Quality Assurance (NCQA). Knowledge of criteria set, including Milliman and InterQual. Ability to work well...
Lugar: Seattle, WA | 07/06/2026 00:06:28 AM | Salario: S/. No Especificado | Empresa: Community Health Plan of Washington
Clinical Case Manager
and expeditious transition of patients. Utilizes InterQual (IQ), Milliman Care Guidelines (MCG), or in accordance with CMS rules...
Lugar: Waterbury, CT | 06/06/2026 21:06:08 PM | Salario: S/. No Especificado | Empresa: Waterbury Hospital