Utilization Review RN
Experience with MCG (Milliman) or InterQual guidelines is Mandatory Job Type & Location This is a Contract position based...
Experience with MCG (Milliman) or InterQual guidelines is Mandatory Job Type & Location This is a Contract position based...
is a subsidiary of Milliman;a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare... for employees who meet eligibility criteria. Life Insurance & AD&D – 100% of premiums covered by Milliman. Short-Term and Long...
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...
Coverage Determination (NCD) guidelines, Local Coverage Determination (LCD) Guidelines, DHCS Medi-Cal Guidelines, Milliman Care...
Experience with MCG (Milliman) or InterQual guidelines is Mandatory Job Type & Location This is a Contract position based...
for admission, observation, and level of care to comply with federal and state mandates. Uses Milliman and Medicare...
using InterQual or Milliman Preferred Licenses and Certifications Current unrestricted registered nurse (RN) license...
Management and/or familiarity with Milliman Care Guidelines. Required experience in acute inpatient (hospital) nursing...
regulations as well as coverage guidelines and benefit limitations. The ability to apply Interqual/ Milliman Care Guidelines...