or current multi state license required. Effective Jan 2026: Current MCG (Milliman Clinical Guideline) certification...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-CD4 Employment Status: Full Time Shift...
or management, preferred. 3. Current BCLS (AHA) certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria...
, preferred. Recent working knowledge of Milliman Care Guidelines, preferred. License & Certifications: Active, unrestricted...
for reimbursement and reason(s) for denials by auditors. Knowledge in areas such as InterQual Level of Care and Milliman & Robertson...
(UM) operations. 1+ years of InterQual and/or Milliman (MCG) criteria experience. 1+ years of Utilization Review (UR) OR Utilization...
and Milliman Care Guidelines (MCG) for level-of-care determinations. Efficient handling of high-volume caseloads and adherence...
in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred Licenses and Certifications RN...
of Milliman Criteria and InterQual Criteria preferred. 6. Knowledge of psychiatric medical necessity, case management...