. Uses Milliman and Medicare and other appropriate resources. Maintains liaison with the inpatient case manager...
clinical criteria (e.g., InterQual, Milliman) to support medical necessity determinations Communicate authorization decisions... operations strongly preferred Knowledge of InterQual or Milliman clinical criteria guidelines is a plus Strong understanding...
required Knowledge of Medicaid and/or Medicare regulations required. Knowledge of Milliman criteria (MCG) preferred...
preferred. 3. Current BCLS certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. Pay...
planning or management Current BLS (AHA) certificate Knowledge of Milliman Criteria and InterQual Criteria Full benefits...
using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
years of acute care nursing experience. preferred CCM or obtained within 1year Knowledge of Milliman Criteria...
care nursing experience. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...