and coordinate with vendors (e.g. Milliman) and the investment committee. Develop, maintain and update compensation structures...
is preferred. Current BLS certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-AM5...
. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-AM5 Employment Status: Per Diem Shift: Variable Equal...
within established protocols Completes Utilization Management for assigned patients. Applies Milliman Care Guidelines (Indicia...
using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
by referencing regulatory mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM (American...
of Interqual, Milliman or other Healthcare acute criteria preferred. Why You’ll Love Us: Health, dental, prescription...
or current multi state license required. Effective Jan 2026: Current MCG (Milliman Clinical Guideline) certification...
requirements Understanding of CPT and HCPCS coding guidelines Expertise with InterQual and Milliman disease management ideologies...
, appropriateness of care and level of care. Use Milliman and Interqual guidelines as necessary. Begins discharge planning and care...