Registered Nurse, RN- Case Manager
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
(Milliman / InterQual / other guidelines). Provides medical staff education related to Utilization Management criteria...
(Milliman / InterQual / other guidelines). Provides medical staff education related to Utilization Management criteria...
for admission, observation, and level of care to comply with federal and state mandates. Uses Milliman and Medicare...
for admission, observation, and level of care to comply with federal and state mandates. Uses Milliman and Medicare...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts...
. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6...
-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring...