CA RN License Requires at least 5 years of prior experience in nursing, healthcare or other related fields Knowledge... Determination (LCD) Guidelines, Milliman Care Guidelines, and nationally recognized sources such as NCCN and ACOG. The successful RN...
plan in cases of member inquiry, triage hub, chronic conditions, poly-pharmacy, pre-natal care, and voluntary member health... treatment/care plans to promote quality of care, cost effective health care services based on medical necessity complying...