, discharge planning or nursing management, preferred. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...
. 3. Knowledge of Milliman Criteria and InterQual Criteria preferred. Employment Status: Full Time Shift: Days Equal...
years of acute care nursing experience. preferred CCM or obtained within 1year Knowledge of Milliman Criteria...
. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience...
. At least one year experience in case management, discharge planning or nursing management, preferred. Knowledge of Milliman Criteria...
Management experience Case Management experience Knowledge of Milliman Criteria Certified Case Manager (CCM...
Required Required Experience using InterQual or Milliman Required Licenses and Certifications Licensure or eligible for licensure, in the state...
or Milliman criteria Travel Requirement:No regular travel is expected. Occasional onsite presence for audits or key meetings...
. Work with Milliman MedInsight data structures to support payer-provider analytics and efficiency benchmarking. Build... claims). Hands-on experience with Milliman MedInsight data models and analytics workflows. Strong SQL and data modeling...