Applies Interqual (McKesson)/Milliman or other facility endorsed in- and out-patient evidence-based programs to monitor Length... to apply Interqual/Milliman as well as other evidence based guidelines addressing entitlements and LOD. Must have knowledge of relevant...
/Management required Experience with CCM, ACM, or Milliman preferred BLS required upon submission...
/Management required Experience with CCM, ACM, or Milliman preferred BLS required upon submission...
, and evaluates patient care through discharge planning Applies Interqual (McKesson)/Milliman or other facility endorsed in- and out... to apply Interqual/Milliman as well as other evidence based guidelines addressing entitlements and LOD. Must have knowledge of relevant...
;Utilize Milliman Guidelines;UR Admission Criteria;UR Appeals and Denials;UR Concurrent Review;UR Continued Stay Reviews...;UR Medical Necessity;UR Retrospective Review;UR Utilize InterQual Criteria;UR Utilize Milliman Guidelines;CMS...
QUALIFICATIONS: Experience in a pediatric acute hospital Familiarity with Interqual or Milliman Care Guidelines Experience...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
to come in with it. 5–8 years of relevant experience at a Medicare Advantage health plan or actuarial/consulting firm (Milliman, Wakely...
the patient's admission and continued stay for medical necessity, appropriateness of care and level of care. Use Milliman...
Description : Who We Are Independent for over 75 years, Milliman delivers market-leading services and solutions... transformation. Milliman invests in skills training and career development, and gives all employees access to a variety of learning...