Case Manager, RN
of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...
Lugar: Whittier, CA | 14/01/2026 02:01:27 AM | Salario: S/. $48 per hour | Empresa: AHMC Healthcare
Clinical Evaluation Manager, Utilization Management, MLTC
required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred...
Lugar: New York City, NY | 14/01/2026 00:01:22 AM | Salario: S/. $85000 per year
Utilization Management Manager- Remote
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
Lugar: Philadelphia, PA | 13/01/2026 23:01:29 PM | Salario: S/. No Especificado | Empresa: ScionHealth
Case Manager - Crisis Stabilization Unit
, discharge planning or management, preferred. Current BCLS (AHA) certificate preferred. Knowledge of Milliman Criteria...
Lugar: Chula Vista, CA | 13/01/2026 22:01:29 PM | Salario: S/. No Especificado | Empresa: Paradise Valley Hospital
Case Manager, RN
of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...
Lugar: Whittier, CA | 13/01/2026 22:01:54 PM | Salario: S/. $48 per hour | Empresa: AHMC Healthcare
Nurse Reviewer (Registered Nurse) - Remote in US
setting required. Minimum of 2+ years utilization review or claims auditing experience required. Experience with Milliman...
Lugar: Alabama | 13/01/2026 21:01:29 PM | Salario: S/. $65000 - 75000 per year | Empresa: Gainwell Technologies
Case Manager - Crisis Stabilization Unit
or management, preferred. Current BCLS (AHA) certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria...
Lugar: Chula Vista, CA | 13/01/2026 19:01:44 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Director of Care Coordination
) and/or Health Care Quality (CPHQ) Master’s degree in Nursing or MBA Interqual Certified Instructor (ICQI) or Milliman training...
Lugar: Syracuse, NY | 13/01/2026 18:01:09 PM | Salario: S/. No Especificado | Empresa: M3 Placement
RN Appeals Writer
using electronic medical records or acute hospital utilization review using InterQual or Milliman. Working knowledge...
Lugar: Atlanta, GA | 13/01/2026 18:01:39 PM | Salario: S/. No Especificado | Empresa: Piedmont Healthcare Inc.
Nurse Reviewer (Registered Nurse) - Remote in US
setting required. Minimum of 2+ years utilization review or claims auditing experience required. Experience with Milliman...
Lugar: Alabama | 13/01/2026 18:01:30 PM | Salario: S/. $65000 - 75000 per year | Empresa: Gainwell Technologies