Clinical Denials and Appeals RN - Remote
Evidence -based clinical guideline tool (Milliman ® or InterQual ®). Research and application of regulatory policies...
Evidence -based clinical guideline tool (Milliman ® or InterQual ®). Research and application of regulatory policies...
of Milliman Guidelines or similar clinical guidelines Knowledge of medical management policies and procedures This position...
planning or management, preferred. Current BCLS (AHA) certificate preferred. Knowledge of Milliman Criteria and InterQual...
preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred....
. Minimum three (3) years of clinical experience in Nursing, preferably in Case Management. Experience with InterQual and Milliman...
, preferred. Current BCLS (AHA) certificate upon hire and maintain current. Knowledge of Milliman Criteria and InterQual...
preferred. 2. Current BCLS certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria preferred...
and/or Milliman. 3. Ability to train and direct employees. PREFERRED: 1. Bachelor's degree in nursing. Five years of experience in...
: Knowledge, skills and ability to interpret and apply medical care criteria or guidelines, such as McKesson InterQual, Milliman...
, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate...