requirements Understanding of CPT and HCPCS coding guidelines Expertise with InterQual and Milliman disease management ideologies...
by referencing regulatory mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM (American...
using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
of Interqual, Milliman or other Healthcare acute criteria preferred. Why You’ll Love Us: Health, dental, prescription...
, appropriateness of care and level of care. Use Milliman and Interqual guidelines as necessary. Begins discharge planning and care...
or current multi state license required. Effective Jan 2026: Current MCG (Milliman Clinical Guideline) certification...
within 1year BS or BSN or related field preferred. Current BCLS certificate preferred. Knowledge of Milliman Criteria...
certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Employment Status Full Time Shift...
programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...