standards (InterQual and Milliman). Conduct admission, concurrent, and length-of-stay reviews and communicate with payors...
-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring...
in a managed care outpatient or community environment, preferred. Recent working knowledge of Milliman Care Guidelines, preferred...
in a managed care outpatient or community environment, preferred. Recent working knowledge of Milliman Care Guidelines, preferred...
of Milliman Care Guidelines (MCG) or InterQual criteria. Familiarity with Medicare, Medicaid, and private insurance regulations...