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...
of acute care nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual...
and LTAC facilities and continued stay reviews for all of these. Clinicals received are reviewed using Milliman & company...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
of clinical experience as a NP or PA Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
the patient's admission and continued stay for medical necessity, appropriateness of care and level of care. Use Milliman...
to come in with it. 5–8 years of relevant experience at a Medicare Advantage health plan or actuarial/consulting firm (Milliman, Wakely...
for ongoing InterQual/Milliman compliance, quality improvement, and utilization review per CMS guidelines and hospital policy...
nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual Criteria...