Denial Specialist
. Demonstrates awareness of nursing skills, Milliman Clinical Review criteria, NYS LOCADTR, and CMS guidelines and regulations...
. Demonstrates awareness of nursing skills, Milliman Clinical Review criteria, NYS LOCADTR, and CMS guidelines and regulations...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
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...
QUALIFICATIONS: Certification in Case or Care Management preferred. Experience using InterQual or Milliman preferred. Master’s degree...
such as CMS-HCC, HHS-HCC, 3M, Milliman, etc. Deep understanding of CMS guidelines, compliance requirements, and audit processes...
certificate Case Management Certification (CCM) preferred. Current knowledge Clinical Criteria including Milliman are Guild...
. Demonstrates awareness of nursing skills, Milliman Clinical Review criteria, NYS LOCADTR, and CMS guidelines and regulations...
certificate Case Management Certification (CCM) preferred. Current knowledge Clinical Criteria including Milliman are Guild...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
reviews using Milliman/InterQual criteria Advocate for patient needs while ensuring appropriate care levels and resource use... in Milliman/InterQual criteria Strong computer and documentation skills Why Work in White Plains, NY? Vibrant, growing city...