and performance audits Experience with InterQual and/or Milliman Care Guidelines (MCG) Telephonic queue experience Knowledge...
on disease processes Encourage members to make healthy lifestyle changes Document and track findings Utilize Milliman criteria...
and performance audits Experience with InterQual and/or Milliman Care Guidelines (MCG) Telephonic queue experience Knowledge...
Management/Care Coordination experience Managed care background Knowledge of Milliman (MCG) or InterQual criteria Reside in...
of InterQual or Milliman Care Guidelines preferred We Offer Great Benefits: Day-one comprehensive health, vision and dental...
Nurse. Experience with concurrent review required. Experience utilizing Milliman Care Guidelines (MCG...
, but not limited to Medicare criteria, Medicaid/Medi-cal criteria, Interqual, Milliman, or Health Plan specific guidelines Collaborate...
regarding insurance requirements along with being an education resource for both Milliman and InterQual criteria. This position... to practice nursing in the State of Tennessee (RN). Certified in Milliman and or InterQual Utilization Management...
guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Physical Demands: While performing the...
guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Physical Demands: While performing the...