of clinical experience as a NP or PA Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines...
-authorization experience Utilization Management experience Case Management experience Knowledge of Milliman Criteria Certified...
, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Pay is based on several factors including...
Advantage and/or Medicaid (CDPS Rx, Milliman, Mercer), Quality (HEDIS / STARS) measure performance, Population Health including...
(within past 3 years) working knowledge of Milliman Care Guidelines, preferred. Minimum of three years (3) in clinical medical...
Proficient in Allscripts EMR, Allscripts CM software program, Milliman Care Guidelines (MCG), IDX and 3M within 6 months...
(within past 3 years) working knowledge of Milliman Care Guidelines, preferred. Minimum of three years (3) in clinical medical...
preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. The company is dedicated to empowering its staff...
Required Experience using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer skills...