, conflict resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines...
. GENERAL DUTIES/RESPONSIBILITIES: 1. Processes second level reviews in compliance with Medicare/CMS: NCD, LCD and Milliman... classifications as well as continued stay reviews in compliance with CMS and Milliman guidelines. 3. Acts as a liaison between the...
, and federal healthcare programs Experience using Milliman or InterQual medical necessity criteria Core Competencies...
health management, and industry care guidelines such as Milliman Care Guidelines. Knowledge of configuration change...
with InterQual or Milliman Care Guidelines Prior RN case management or clinical coordination experience Bilingual (Spanish...
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...
Preferred: 1. Knowledge of milliman and/or interqual criteria, utilization review, discharge planning and case management...
in Case Management, BS or BSN or related field preferred. Current BCLS certificate preferred. Knowledge of Milliman Criteria...
planning or management, preferred. 3. Current BCLS (AHA) certificate preferred. 4. Knowledge of Milliman Criteria...
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...