within 1year BS or BSN or related field preferred. Current BCLS certificate preferred. Knowledge of Milliman Criteria...
or Milliman Care Guidelines. Evaluate whether the care provided is appropriate, efficient, and meets the standards of care based...
programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...
programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...
such as Excel, Power BI, and RStudio Monitor and analyze Milliman MedInsight data and reports, translating findings into actionable...
(AHA) certificate, preferred Knowledge of Milliman Criteria and InterQual Criteria preferred Experience and knowledge...
(AHA) certificate, preferred Knowledge of Milliman Criteria and InterQual Criteria preferred Experience and knowledge...
of service by applying Milliman (MCG) criteria sets to properly determine NICU levels of care. Work collaboratively with payors...
applications, specifically Word, Excel, and Outlook Proficiency using Milliman Care Guidelines (MCG) and/ or InterQual criteria...
strongly preferred. Hands-on experience with ZeOmega Jiva strongly preferred;experience with Milliman Care Guidelines (MCG...