, such as InterQual and Milliman & Robertson (now commonly associated with MCG care guidelines), is preferred. Demonstrated ability...
: Talroo- Health, Utilization Review Nurse, RN, Care Coordination, or Discharge Planning, Case Management, Milliman, NCQA The...
: Talroo- Health, Utilization Review Nurse, RN, Care Coordination, or Discharge Planning, Case Management, Milliman, NCQA The...
: Talroo- Health, Utilization Review Nurse, RN, Care Coordination, or Discharge Planning, Case Management, Milliman, NCQA The...
) · Milliman experience (preferred) · Knowledge of NCQA (preferred) · Microsoft suite (Word, Excel, Outlook) (preferred... Management, Milliman, NCQA We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits...
) · Milliman experience (preferred) · Knowledge of NCQA (preferred) · Microsoft suite (Word, Excel, Outlook) (preferred... Management, Milliman, NCQA We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits...
. - Uses Aetna Systems such as QNXT, ProFAX, ProPAT, and Milliman Criteria. - Communicates with Aetna Nurses and Medical...
management activities. Familiarity with established clinical decision-support criteria, such as InterQual and Milliman...
) · Milliman experience (preferred) · Knowledge of NCQA (preferred) · Microsoft suite (Word, Excel, Outlook) (preferred... Management, Milliman, NCQA We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits...
: Talroo- Health, Utilization Review Nurse, RN, Care Coordination, or Discharge Planning, Case Management, Milliman, NCQA The...