or Milliman Ambulatory Care Guidelines. · Shall have a minimum of two years broad-based clinical nursing experience...
, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines. · Shall have a minimum of two years broad-based clinical...
, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines. · Shall have a minimum of two years broad-based clinical...
or nursing management, preferred. Current BCLS (AHA) certificate upon hire and maintain current;. Knowledge of Milliman...
or Milliman Ambulatory Care Guidelines. · Shall have a minimum of two years broad-based clinical nursing experience...
like Milliman (MCG) or Medicare manuals. Coordination: Act as a liaison between patients, families, providers, and facilities...
for admission, observation, and level of care to comply with federal and state mandates. Uses Milliman and Medicare...
of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...
within established protocols Completes Utilization Management for assigned patients. a) Applies Milliman Care Guidelines (Indicia...
of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...