Utilization Management RN (Hybrid)
Manager BSN Experience with Milliman Care Guidelines (MCG) PIde2583009045-8722-40522416...
Manager BSN Experience with Milliman Care Guidelines (MCG) PIde2583009045-8722-40522416...
Manager BSN Experience with Milliman Care Guidelines (MCG) PIe60cb6e8dcd5-8722-40522416...
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...
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...
. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-AM5 Employment Status: Per Diem Shift: Variable Equal...
): 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...
within established protocols Completes Utilization Management for assigned patients. Applies Milliman Care Guidelines (Indicia...