-authorization experience Utilization Management experience Case Management experience Knowledge of Milliman Criteria Certified...
organization Experience in a telephonic role Knowledge of Interqual or Milliman guidelines (MCG) *All employees working...
Required Experience using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. The company is dedicated to empowering its staff...
(within past 3 years) working knowledge of Milliman Care Guidelines, preferred. Minimum of three years (3) in clinical medical...
Proficient in Allscripts EMR, Allscripts CM software program, Milliman Care Guidelines (MCG), IDX and 3M within 6 months...
Advantage and/or Medicaid (CDPS Rx, Milliman, Mercer), Quality (HEDIS / STARS) measure performance, Population Health including...
(within past 3 years) working knowledge of Milliman Care Guidelines, preferred. Minimum of three years (3) in clinical medical...
of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer skills...
(AHA) certificate upon hire and maintain current. Knowledge of Milliman Criteria and InterQual Criteria preferred...