or current multi state license required. Effective Jan 2026: Current MCG (Milliman Clinical Guideline) certification...
by referencing regulatory mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM (American...
-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring...
using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Employment Status Full Time Shift...
within 1year BS or BSN or related field preferred. Current BCLS certificate preferred. Knowledge of Milliman Criteria...
Excellent communication and collaboration skills Ability to interpret Milliman/Interqual guidelines and manage complex cases...
Excellent communication and collaboration skills Ability to interpret Milliman/Interqual guidelines and manage complex cases...
programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...
programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...