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...
Description : Milliman's Seattle Health Practice is looking for an Actuary with extensive experience in Medicare Part.... We provide extensive on-the-job training in consulting skills and advanced actuarial techniques. About Our Practice Milliman...
;. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer...
Description : Milliman's Seattle Health Practice is looking for an Associate Actuary with extensive experience.... We provide extensive on-the-job training in consulting skills and advanced actuarial techniques. About Our Practice Milliman...
or nursing management, preferred. Current BCLS (AHA) certificate upon hire and maintain current;. Knowledge of Milliman...
/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...
/Management required Experience with CCM, ACM, or Milliman preferred BLS required upon submission...
;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...