and appropriateness by referencing regulatory mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM...
, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines. Full-time employment in nursing for the last 12 months...
necessity and appropriateness by referencing regulatory mandates, contracts, benefit information, Milliman Care Guidelines...
of acute care nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual...
of acute care nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual...
patients. Applies Milliman Care Guidelines (Indicia) criteria to monitor appropriateness of admissions and continued stays...
nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual Criteria...
nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual Criteria...
Preferred Qualifications: Bachelor's degree Knowledge of Interqual or Milliman guidelines Recent Emergency Room hospital...
in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred Licenses and Certifications RN...