Utilization Review Specialist Nurse (RN) | Case Management
focus and application of positive language principles Expert knowledge of InterQual Level of Care Criteria or Milliman Care...
focus and application of positive language principles Expert knowledge of InterQual Level of Care Criteria or Milliman Care...
. Additional Qualifications That Are a Plus: Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience...
to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...
of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer skills...
to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...
;Discharge Planning;Utilize InterQual Criteria;Utilize Milliman Guidelines;UR Admission Criteria;UR Appeals and Denials;UR... Utilize Milliman Guidelines;CMS: Centers for Medicare and Medicaid Services;CPT (Current Procedural Terminology) coding...
to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...
to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...
to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...
setting. Experience with Milliman criteria. Preferred Qualifications: Bachelor's Degree in Nursing or related field...