Utilization Review Author
and continued stay reviews utilizing InterQual or Milliman to identify and support the appropriate level of care. Abstract data...
Case Manager Registered Nurse (FT/Days)
and maintain current;Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic...
Lugar: Riverdale, GA | 29/01/2025 22:01:03 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Utilization Review Coordinator-Utilization Review Full Time Days
criteria using Milliman and communicates that information to payers, physicians, and other members of the health care team.... Run reviews through Milliman and, if criteria meets, discuss with Case Manager and if applicable sends commercial cases...
Lugar: Palos Heights, IL | 29/01/2025 18:01:48 PM | Salario: S/. No Especificado | Empresa: Northwestern Medicine
Clinical - Clinical Review Nurse - Prior Authorization
in Prior Authorization (PA) or Utilization Management (UM) is required. Experience with InterQual or Milliman guidelines... Management department. Experience with InterQual or Milliman. Strong organizational skills, attention to detail, and the...
Lugar: USA | 29/01/2025 18:01:58 PM | Salario: S/. No Especificado | Empresa: Pacer Group
Utilization Review Nurse
criteria (e.g., Milliman Guidelines, InterQual) to determine appropriate levels of care and monitor resource utilization... denial letters. Proven ability to multitask effectively in a high-volume environment. Experience with Milliman Guidelines...
Lugar: Houston, TX | 29/01/2025 18:01:21 PM | Salario: S/. No Especificado | Empresa: ROI Search Group
Clinical - Clinical Review Nurse - Prior Authorization
required. Experience in InterQual or Milliman Organizational skills, detailed oriented, able to work independently and make decision... Software Skills Required: InterQual Milliman, Microsoft Outlook, Basic Internet Skills Required Certifications: RN...
Lugar: USA | 29/01/2025 18:01:45 PM | Salario: S/. No Especificado | Empresa: Pacer Group
Clinical - Clinical Review Nurse - Prior Authorization
of experience Education Preferred: n/a Software Skills Required: InterQual Milliman, Microsoft Outlook, Basic Internet Skills...
Lugar: Saint Louis, MO | 29/01/2025 18:01:04 PM | Salario: S/. No Especificado | Empresa: Axelon Services
Case Manager RN
. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience...
Lugar: Inglewood, CA | 29/01/2025 00:01:08 AM | Salario: S/. No Especificado | Empresa: Centinela Hospital Medical Center
CLINCIAL DOCUMENTATION REVIEWER RN- CONTINUUM OF CARE FULL-TIME FLE
is looking for a Clinical Documentation Reviewer. Job Duties Applies Inter Qual Level of Care and/or Milliman criteria to all admissions...
Lugar: Paramus, NJ | 28/01/2025 19:01:01 PM | Salario: S/. No Especificado | Empresa: Bergen New Bridge Medical Center
Case Manager RN
, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate...
Lugar: Inglewood, CA | 28/01/2025 19:01:10 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare