using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
or Milliman guidelines. Demonstrated ability to apply clinical judgment and make clinical determinations. 3+ years of leadership...
, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred...
nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual Criteria...
nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual Criteria...
experience required Experience with InterQual and utilization review/management required Experience with CCM, ACM, or Milliman...
in Benefit Point. Capable of Gathering and Analyzing ICAF, Milliman, Aggregate and DMW reports. Initiate own correspondence...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
experience required Experience with InterQual and utilization review/management required Experience with CCM, ACM, or Milliman...
, and Word and strong typing skills required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman...