care management experience is preferred. Experience in the use of InterQual/Milliman criteria preferred. Basic computer...
planning, current knowledge/use of evidence-based admission criteria tools like Milliman Care Guidelines, knowledge of common...
. Familiarity with URAC/NCQA standards, Milliman Care Guidelines (MCG) experience preferred. Bonus: Additional certifications...
and strong typing skills required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG...
Required Experience using InterQual or Milliman Preferred Licenses and Certifications Current unrestricted registered nurse (RN...
required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred...
), Utilization Management (UM), OR Prior Authorization. 1+ years of knowledge of InterQual criteria and/or Milliman Care Guidelines...
criteria and guidelines, ensuring the medical necessity of treatments (e.g., CMS, Milliman Care Guidelines, InterQual...
License Experience: 1-3 years of experience in Case Review, Utilization, Billing, and coding review;InterQual and Milliman...
Description : What We Do Milliman IntelliScript is a group of a few hundred experts in fields ranging... unit within Milliman, Inc., a respected consultancy with offices around the world. Candidates who have their pick...