. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-AM5 Employment Status: Per Diem Shift: Variable Equal...
is preferred. Current BLS certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-AM5...
and coordinate with vendors (e.g. Milliman) and the investment committee. Develop, maintain and update compensation structures...
in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred Licenses and Certifications RN...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
): Conduct thorough clinical reviews using established guidelines (such as Milliman or InterQual) to manage commercial payer... Knowledge: Hands-on experience utilizing InterQual or Milliman Criteria for utilization review. Location and Work Type Work...
using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
and knowledge in basic to intermediate computer skills. 1. Current BCLS certificate preferred. 2. Knowledge of Milliman Criteria...
and knowledge in basic to intermediate computer skills. 1. Current BCLS certificate preferred. 2. Knowledge of Milliman Criteria...
for medical necessity across inpatient and outpatient services, applying CMS guidelines and Milliman Care Guidelines (MCG... (LCD, NCD) to assist in determinations of referrals and utilize Milliman Care Guidelines (MCG) to assist in determinations...