Clinical Evaluation Manager, Utilization Management (per Diem)
requiredKnowledge of Medicaid and/or Medicare regulations requiredKnowledge of Milliman criteria (MCG) preferredFor UM Only: Experience...
requiredKnowledge of Medicaid and/or Medicare regulations requiredKnowledge of Milliman criteria (MCG) preferredFor UM Only: Experience...
nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual Criteria...
as necessary. Develop stewardship report based on workflows in Benefit Point. Capable of Gathering and Analyzing ICAF, Milliman...
requiredKnowledge of Medicaid and/or Medicare regulations requiredKnowledge of Milliman criteria (MCG) preferredFor UM Only: Experience...
using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
. Current BCLS certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. Pay Transparency...
within 24 hours of admission and at least every 96 hours utilizing Milliman criteria determining appropriate patient status...
management, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria...
be substituted for the bachelor’s degree requirement. Experience with InterQual, MCG, Milliman, or other healthcare acute care...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...