of clinical criteria (i.e., MCG, InterQual, Apollo, CMS National and Local Coverage Determinations, etc.) Able to communicate... at . If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email ....
that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility... as per MCG guidelines. Creates, manages and maintains the 24/7 UR RN schedule and assures coverage...
the region. Capital Health recognizes that attracting the best talent is key to our strategy and success... to the medical staff (ED, Residents, Hospitalists) regarding documentation and level of care placement as per MCG guidelines...
Company Description At Mission Critical Group (MCG), we don’t just manufacture electrical systems—we deliver power..., additional projects and/or tasks may be assigned to meet operational needs. MCG retains the right to change or assign...
Guidelines (MCG) experience. Knowledge of medical records, medical terminology, and disease processes. Strong clinical.... Best of luck in your search! ~ The Acentra Health Talent Acquisition Team EEO AA M/F/Vet/Disability Acentra Health...
. This role involves performing initial reviews of outpatient cases using criteria specific to Medicare, MediCal, and MCG... experience in utilization management. Knowledge of MCG criteria. Experience working with provider offices. Familiarity...
Media Strategy Intern Haymarket Media, Inc. is seeking a Media Strategy Intern to join the MCG Media Strategy team... with Haymarket Media, you will receive an email directly from a member of the Talent Acquisition team or communication through...
and appropriateness of behavioral health services Apply clinical guidelines and tools such as InterQual, MCG, ASAM, or LOCUS Conduct... review Strong knowledge of medical necessity criteria (InterQual, MCG, ASAM, LOCUS preferred) Excellent communication...
for secondary reviews and P2Ps;maintain payer-specific medical policy expertise (CMS/MA/commercial) and InterQual/MCG criteria... documentation practices and audit readiness;coordinate with Compliance and Legal on complex cases. Talent Management (Direct...
Company Description At Mission Critical Group (MCG), we don’t just manufacture electrical systems—we deliver power..., additional projects and/or tasks may be assigned to meet operational needs. MCG retains the right to change or assign...