, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines. Full-time employment in nursing for the last 12 months...
of acute care nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual...
Preferred Qualifications: Bachelor's degree Knowledge of Interqual or Milliman guidelines Recent Emergency Room hospital...
required. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer...
nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual Criteria...
in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred Licenses and Certifications RN...
Leadership experience required. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
and appropriateness by referencing regulatory mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM...
Previous Case Management experience preferred Preferred 1-3 years Experience in the use of Milliman/InterQual criteria...
with InterQual and utilization review/management required Experience with CCM, ACM, or Milliman criteria preferred Basic Life...