Utilization Management RN
to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...
to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...
to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...
setting. Experience with Milliman criteria. Preferred Qualifications: Bachelor's Degree in Nursing or related field...
to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...
to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...
to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...
That Are a Plus: Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer...
of Milliman/InterQual criteria. General Skills: Essential computer skills. If you’re interested, please reply...
management, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria...
with external benchmarks (e.g., Milliman, BHI, CMS, HEDIS‑adjacent measures). Experience working with vendor‑based PI programs...