RN, Care Manager
using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
no call or floating required MUST HAVE experience with Milliman Care Guidelines and Acute Hospital Experience! The... Authorizations Utilize Milliman Guidelines CMS: Centers for Medicare and Medicaid Services CPT (Current Procedural Terminology...
or current multi state license required. Effective Jan 2026: Current MCG (Milliman Clinical Guideline) certification...
within 1year BS or BSN or related field preferred. Current BCLS certificate preferred. Knowledge of Milliman Criteria...
certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Employment Status Full Time Shift...
such as Excel, Power BI, and RStudio Monitor and analyze Milliman MedInsight data and reports, translating findings into actionable...
(AHA) certificate, preferred Knowledge of Milliman Criteria and InterQual Criteria preferred Experience and knowledge...
(AHA) certificate, preferred Knowledge of Milliman Criteria and InterQual Criteria preferred Experience and knowledge...
of service by applying Milliman (MCG) criteria sets to properly determine NICU levels of care. Work collaboratively with payors...
applications, specifically Word, Excel, and Outlook Proficiency using Milliman Care Guidelines (MCG) and/ or InterQual criteria...