Case Manager
certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. Employment Status Full Time...
certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. Employment Status Full Time...
to determine and validate the appropriate level of care using established criteria, including InterQual and Milliman guidelines... InterQual and/or Milliman clinical criteria. Position Highlights Full-time, 40 hours per week Hybrid work schedule...
and day-to-day administration of Milliman’s leave of absence, disability, and paid time off programs across a multi-state..., skills, certifications, etc. BENEFITS: At Milliman, we focus on creating an environment that recognizes – and meets – the...
to determine and validate the appropriate level of care using established criteria, including InterQual and Milliman guidelines... InterQual and/or Milliman clinical criteria. Position Highlights Full-time, 40 hours per week Hybrid work schedule...
necessity and appropriateness by referencing regulatory mandates, contracts, benefit information, Milliman Care Guidelines...
appropriateness. Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission... expertise. Deep knowledge of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two-Midnight Rule...
appropriateness. Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission... expertise. Deep knowledge of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two-Midnight Rule...
appropriateness. Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission... expertise. Deep knowledge of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two-Midnight Rule...
appropriateness. Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission... expertise. Deep knowledge of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two-Midnight Rule...
and benefit coverage in accordance with health plan policies. Apply MCG (Milliman Care Guidelines) or equivalent clinical...