Director of Case Management
. Current BCLS certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Pay Transparency...
. Current BCLS certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Pay Transparency...
. Current BCLS certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-TA1 Pay...
, and discharge planning. Must be proficient with Interqual or Milliman guidelines and use. Proficient in process improvement...
medical necessity and appropriateness by referencing regulatory mandates, contracts, benefit information, Milliman Care...
toward or completion of CCM/CCP/CDE/MCG certification or Advanced degree Knowledge of Milliman Guidelines or similar...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...
authorizations Utilize InterQual criteria Utilize Milliman guidelines Knowledge of HIPAA guidelines ICD 10 coding Discharge...
Required Experience using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual Criteria...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...