regarding insurance requirements along with being an education resource for both Milliman and InterQual criteria. This position... to practice nursing in the State of Tennessee (RN). Certified in Milliman and or InterQual Utilization Management...
clinical quality and performance audits Experience with InterQual and/or Milliman Care Guidelines (MCG) Telephonic queue...
guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Physical Demands: While performing the...
guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Physical Demands: While performing the...
guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Physical Demands: While performing the...
guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Physical Demands: While performing the...
experience Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts...
experience Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts...
experience Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts...
. Current BCLS certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. To speak...