CASE MANAGER
: Clinical screening criteria, such as InterQual and Milliman Care Guidelines (MCG) Medicare’s Prospective Payment System...
Lugar: Hattiesburg, MS | 22/04/2026 19:04:52 PM | Salario: S/. No Especificado | Empresa: Forrest Health
Care Manager (RN) **Hospital Care Management Experience Highly Preferred
, but not limited to InterQual, Milliman Care Guidelines (MCG), etc. Collaborates with the Attending of record and the Physician Advisor...
Lugar: Mineola, NY | 22/04/2026 17:04:54 PM | Salario: S/. $147153.95 - 149195.34 per year | Empresa: NYU Langone Health
Registered Nurse (RN) Revenue Cycle Nurse Auditor (FT M-F 8-5)
Milliman Care Guidelines) Viseo software experienced user, is preferred Required Licensures/Certifications/Registrations...
Lugar: USA | 21/04/2026 18:04:58 PM | Salario: S/. No Especificado | Empresa: University Medical Center
Case Manager RN
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
Lugar: Denville, NJ | 19/04/2026 02:04:35 AM | Salario: S/. $84926.4 - 104000 per year | Empresa: Prime Healthcare
RN Care Manager - Reno, NV
of Milliman Care Guidelines, preferred. Experience working with the Medicare and Medicaid population segment, preferred...
Lugar: Reno, NV | 19/04/2026 01:04:59 AM | Salario: S/. No Especificado | Empresa: Universal Health Services
RN Care Manager - Reno, NV
of Milliman Care Guidelines, preferred. Experience working with the Medicare and Medicaid population segment, preferred...
Lugar: Reno, NV | 18/04/2026 22:04:28 PM | Salario: S/. No Especificado | Empresa: TMC Bonham Hospital
Case Manager RN
or nursing management, preferred. 4. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual...
Lugar: Denville, NJ | 18/04/2026 18:04:46 PM | Salario: S/. $84926.4 - 104000 per year | Empresa: St. Clare's - Denville
Care Manager, PRN Days
: Certification in Case or Care Management;experience using InterQual or Milliman;Master?s degree preferred. Business Unit...
Lugar: Atlanta, GA | 18/04/2026 18:04:44 PM | Salario: S/. No Especificado | Empresa: Piedmont Healthcare Inc.
Clinical Denials and Appeals RN
criteria such as InterQual and Milliman Care Guidelines. Perform retrospective medical record reviews to validate... with InterQual and/or Milliman Care Guidelines, and electronic medical record systems. Experience with inpatient level‑of‑care...
Lugar: Birmingham, AL | 18/04/2026 02:04:16 AM | Salario: S/. $68000 - 113000 per year | Empresa: Guidehouse
Registered Nurse Case Manager
(AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
Lugar: Blue Springs, MO | 17/04/2026 23:04:02 PM | Salario: S/. No Especificado | Empresa: St. Mary's Medical Center