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 | 10/06/2026 20:06:25 PM | Salario: S/. $68000 - 113000 per year | Empresa: Guidehouse

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 17:06:02 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare