At least one-year experience in case management, discharge planning or management Current BLS (AHA) certificate Knowledge of Milliman...
Description : BUSINESS DEVELOPMENT MANAGER Description: Milliman is seeking a BUSINESS DEVELOPMENT MANAGER... and structure. At Milliman we strive to deliver the best products and services so that people can live for today and plan...
within 24 hours of admission and at least every 96 hours utilizing Milliman criteria determining appropriate patient status...
and Benefit Timeline. Enrollment Meetings – Conduct enrollment meetings as necessary Reporting ICAF/Milliman/DMW – Gather...
, clinical standards of care, NCQA requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, Medicaid/Medicare...
(AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
Current BLS (AHA) certificate Knowledge of Milliman Criteria and InterQual Criteria Full benefits at Prime Healthcare...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
Current BLS (AHA) certificate Knowledge of Milliman Criteria Full benefits at Prime Healthcare: #LI-MP1 Employment...
guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Pay is based on several factors including...