Utilization Review and Appeals Case Manager
-based criteria such as InterQual or Milliman Care Guidelines (MCG) to evaluate admissions, continued stays, and discharge...
-based criteria such as InterQual or Milliman Care Guidelines (MCG) to evaluate admissions, continued stays, and discharge...
preferred. Experience in Milliman and Interqual preferred. Leadership experience, knowledge of legal aspects of coding... experience preferred. Experience using healthcare web based applications, Milliman, Interqual, etc. , preferred. Basic...
preferred. Experience using healthcare web based applications, Milliman, Interqual, etc. , preferred. * Basic computer...
support or sponsorship from Milliman now or in the future. Who We Are Independent for 75 years, Milliman delivers market... IT audit processing experience Experience working with Milliman IT professionals Attendance at professional staff...
years of Clinical experience in hospital or medical office/clinic setting. Experience with Milliman criteria. Preferred...
Familiarity with CPT coding and ICD-10 terminology Knowledge of InterQual or Milliman Care Guidelines preferred Bilingual...
. Current BCLS certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-SM6...
medical necessity screening tools such as Milliman Care Guidelines (MCG) are utilized. Ensures initial and continued stay... appropriate medical necessity screening tools such as Milliman Care Guidelines (MCG) are utilized. Ensures clinical reviews...
Knowledge of terminology CPT codes and ICD 10 Bilingual preferred Knowledge of InterQual or Milliman Care Guidelines preferred...
of Milliman/InterQual criteria. General Skills: Essential computer skills....