in Case Management, BS or BSN or related field preferred. Current BCLS certificate preferred. Knowledge of Milliman Criteria...
or nursing management, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Behavioral Violence...
, DRG guidelines, HIPAA, and Milliman Guidelines utilized in daily practice Located in the Coastal Virginia region near...
on disease processes Encourage members to make healthy lifestyle changes Document and track findings Utilize Milliman criteria...
on disease processes Encourage members to make healthy lifestyle changes Document and track findings Utilize Milliman criteria...
. Knowledge of Milliman Criteria and InterQual Criteria preferred. Behavioral Violence Prevention Training within 3 months...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...
Rounds, Resource Allocation, InterQual Criteria, Milliman Care Guidelines (MCG), Allscripts, Epic Case Management, CMS...
established criteria and guidelines, ensuring the medical necessity of treatments (e.g., CMS, Milliman Care Guidelines, InterQual...
or Milliman Care Guidelines. Evaluate whether the care provided is appropriate, efficient, and meets the standards of care based...