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IMCS Group Inc · Posted Nov 10, 2026
Case Manager and Utilization Review RN for Cancer Specialty Hospital. 5 years' experience required. Must have acute hospital experience. Epic & InterQual documentation; SBAR communication. Weekends required. Certifications REQUIRED: BLS; BSN; State License Skills/Experience REQUIRED: Acute Hospital; Long Term Acute Care/Rehab/Skilled Nursing; Admission Criteria; Care Coordination; Discharge Planning; Utilize InterQual Criteria; Utilize Milliman Guidelines; UR Admission Criteria; UR Appeals and Denials; UR Concurrent Review; UR Continued Stay Reviews; UR Medical Necessity; UR Retrospective Review; UR Utilize InterQual Criteria; UR Utilize Milliman Guidelines; CMS: Centers for Medicare and Medicaid Services; CPT (Current Procedural Terminology) coding and billing; Department of Health; DRG (Diagnosis Related Groups); HEDIS (The Healthcare Effectiveness Data and Information Set) Measures; HIPAA guidelines (Health Insurance Portability and Accountability Act); ICD 10 Coding; NCQA (National Committee for Quality Assurance); OSHA; The Joint Commission/ Core Measure/National Safety Goals Workers Compensation
See full job descriptionIMCS Group Inc · Posted Nov 10, 2026
Access Supervisor monitors all aspects of revenue cycle to include scheduling, physician orders, registration, charge entry, claims management, payment recovery and follow-up.
1118 Ross Clark Circle, Suite 500
Clinical Officers are responsible for delivering high standard medical care and excellent customer service at the health facility, rotating between outpatient and emergency services.
Case Manager and Utilization Review RN for Cancer Specialty Hospital. 5 years' experience required. Must have acute hospital experience. Epic & InterQual documentation; SBAR communication. Weekends required. Certifications REQUIRED: BLS; BSN; State License Skills/Experience REQUIRED: Acute Hospital; Long Term Acute Care/Rehab/Skilled Nursing; Admission Criteria; Care Coordination; Discharge Planning; Utilize InterQual Criteria; Utilize Milliman Guidelines; UR Admission Criteria; UR Appeals and Denials; UR Concurrent Review; UR Continued Stay Reviews; UR Medical Necessity; UR Retrospective Review; UR Utilize InterQual Criteria; UR Utilize Milliman Guidelines; CMS: Centers for Medicare and Medicaid Services; CPT (Current Procedural Terminology) coding and billing; Department of Health; DRG (Diagnosis Related Groups); HEDIS (The Healthcare Effectiveness Data and Information Set) Measures; HIPAA guidelines (Health Insurance Portability and Accountability Act); ICD 10 Coding; NCQA (National Committee for Quality Assurance); OSHA; The Joint Commission/ Core Measure/National Safety Goals Workers Compensation