programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...
management, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria...
Current BLS (AHA) certificate Knowledge of Milliman Criteria and InterQual Criteria Full benefits at Prime Healthcare...
Interqual or Milliman required High level of competency performing medical necessity reviews with accepted criteria required...
and/or Milliman criteria software systems, and managed care experience in utilization review for at least 1 year preferred. BLS...
, appropriateness of care and level of care. Use Milliman and Interqual guidelines as necessary. Collaborates with clinical teams...
Plan Language, Policies, and Benefits to determine medical necessity. MCG Milliman, InterQual, CPB or other criteria...
using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
– Conduct enrollment meetings as necessary Reporting ICAF/Milliman/DMW – Gather Data necessary and submit to carriers...
(LSW). 2. Current BCLS certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria preferred...