Senior Manager, Utilization Management
Experience working with Milliman guidelines or other regulatory protocols, claims processing, medical coding and interpreting...
Experience working with Milliman guidelines or other regulatory protocols, claims processing, medical coding and interpreting...
strongly preferred. Hands-on experience with ZeOmega Jiva strongly preferred;experience with Milliman Care Guidelines (MCG...
(AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
, discharge planning or nursing management, preferred. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria...
Required Required Experience using InterQual or Milliman Required Licenses and Certifications Licensure or eligible for licensure, in the state...
Required Required Experience using InterQual or Milliman Required Licenses and Certifications Licensure or eligible for licensure, in the state...
years of acute care nursing experience. preferred CCM or obtained within 1year 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...
. At least one year experience in case management, discharge planning or nursing management, preferred. Knowledge of Milliman Criteria...