Required Experience using InterQual or Milliman Preferred Licenses and Certifications Current unrestricted registered nurse (RN...
required, but Bachelor’s degree preferred. Basic knowledge of medical necessity criteria such as Milliman Care Guidelines or Interqual...
and experience with national clinical criteria applied in case management including InterQual and Milliman standards. Working...
, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines. · Shall have a minimum of two years broad-based clinical...
and maintain current;. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic...
, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines. · Shall have a minimum of two years broad-based clinical...
or Milliman Ambulatory Care Guidelines. · Shall have a minimum of two years broad-based clinical nursing experience...
or Milliman Ambulatory Care Guidelines. · Shall have a minimum of two years broad-based clinical nursing experience...
setting Experience applying Medicare and/or Medicaid guidelines Experience with Milliman (MCG) or InterQual guidelines...
or nursing management, preferred. Current BCLS (AHA) certificate upon hire and maintain current;. Knowledge of Milliman...