(LSW). 2. Current BCLS certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria preferred...
Certification or other professional RN Certification, preferred InterQual and/or Milliman experience, preferred Superior...
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...
or current multi state license required. Effective Jan 2026: Current MCG (Milliman Clinical Guideline) certification...
of Milliman Criteria and InterQual Criteria preferred. 6. Knowledge of psychiatric medical necessity, case management...
of Milliman Criteria and InterQual Criteria preferred. 6. Knowledge of psychiatric medical necessity, case management...
mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM (American Society of Addiction...
, conflict resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines...
. GENERAL DUTIES/RESPONSIBILITIES: 1. Processes second level reviews in compliance with Medicare/CMS: NCD, LCD and Milliman... classifications as well as continued stay reviews in compliance with CMS and Milliman guidelines. 3. Acts as a liaison between the...