department or system-wide patient flow Assesses patients’ clinical presentation against Milliman Care Guidelines (MCG...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
review for an insurance company or experience in case management Familiarity with Milliman Care Guidelines Proven...
, discharge planning or management, preferred. 3. Current BCLS (AHA) certificate preferred. 4. Knowledge of Milliman Criteria...
planning or nursing management, preferred. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria...
planning or management, preferred current BCLS (AHA) certificate, preferred knowledge of Milliman Criteria and InterQual...
and drug policies, medical protocols, National Comprehensive Cancer Network, Milliman Care Guidelines, Drugdex...
required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred...
but not limited to InterQual Milliman Care Guidelines MCG, etc. Collaborates with the Attending of record and the Physician Advisor...
required Knowledge of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan...