;Utilize Milliman Guidelines;UR Admission Criteria;UR Appeals and Denials;UR Concurrent Review;UR Continued Stay Reviews...;UR Medical Necessity;UR Retrospective Review;UR Utilize InterQual Criteria;UR Utilize Milliman Guidelines;CMS...
highly preferred InterQual or Milliman experience preferred. Knowledge of NCQA preferred. Requires strong oral, written...
QUALIFICATIONS: Experience in a pediatric acute hospital Familiarity with Interqual or Milliman Care Guidelines Experience...
of clinical experience as a NP or PA Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
of acute care nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual...
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...
and LTAC facilities and continued stay reviews for all of these. Clinicals received are reviewed using Milliman & company...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
Description : The Senior Product Manager will contribute to the success of Milliman Advanced Risk Adjusters (MARA... clarity, focus, and value-informed product decisions. Who We Are Independent for over 75 years, Milliman delivers market...