Case Manager RN
. Apply Milliman Care Guidelines and payer-specific criteria to determine appropriate patient status. Collaborate with attending...
. Apply Milliman Care Guidelines and payer-specific criteria to determine appropriate patient status. Collaborate with attending...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
- Clinical experience in hospital or medical office/clinic setting. Experience with Milliman criteria. Preferred...
management training is required. DRG Assignment and Interqual and/or Milliman is preferred. SPECIAL SKILLS...
claims analytics tools (such as Milliman MedInsight) • Knowledge of and experience with electronic health records...
or insurance setting Experience applying Medicare and/or Medicaid guidelines Experience with Milliman (MCG) or InterQual...
setting. Experience with Milliman criteria. Preferred Qualifications: Bachelor's Degree in Nursing or related field...
or Milliman Care Guidelines. Evaluate whether the care provided is appropriate, efficient, and meets the standards of care based...
setting. Experience with Milliman criteria. Preferred Qualifications: Bachelor's Degree in Nursing or related field...
setting. Experience with Milliman criteria. Preferred Qualifications: Bachelor's Degree in Nursing or related field...