and/or Medicaid guidelines Experience with Milliman (MCG) or InterQual guidelines Experience researching and preparing clinical...
or similar setting Proven awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid...
or insurance setting Experience applying Medicare and/or Medicaid guidelines Experience with Milliman (MCG) or InterQual...
organization Experience in a telephonic role Knowledge of Interqual or Milliman guidelines (MCG) *All employees working...
-authorization experience Utilization Management experience Case Management experience Knowledge of Milliman Criteria Certified...
or similar setting Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare...
, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Pay is based on several factors including...
of clinical experience as a NP or PA Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines...
Utilization Management for assigned patients. Applies Milliman Care Guidelines (Indicia) criteria to monitor appropriateness...
Required Experience using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...