of Milliman Care Guidelines, preferred. Experience working with the Medicare and Medicaid population segment, preferred...
License Experience: 1-3 years of experience in Case Review, Utilization, Billing, and coding review;InterQual and Milliman...
no call or floating required MUST HAVE experience with Milliman Care Guidelines and Acute Hospital Experience! The... Authorizations Utilize Milliman Guidelines CMS: Centers for Medicare and Medicaid Services CPT (Current Procedural Terminology...
and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred Pay Range: USD $45.09 - USD $56.39 /Hr....
or Tableau Actuarial domain familiarity or modeling platform experience (GGY AXIS, Milliman Integrate) Why This Role Stands...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
experience, preferred. 5. Experience in psychiatric emergency and triage preferred. 6. Knowledge of Milliman Criteria...
, Utilization, Billing, and coding review;InterQual and Milliman experience required Technical Skills: Proficiency with Microsoft...
At least one-year experience in case management, discharge planning or management Current BLS (AHA) certificate Knowledge of Milliman...
management. 2. Current Standards of Care & Criteria, working knowledge of Intequal and/or Milliman. 3. Ability to train...