. Additional Qualifications That Are a Plus: Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience...
programs strongly preferred. Experience in use of Milliman/InterQual criteria. General Skills: Essential computer skills...
Interqual or Milliman required High level of competency performing medical necessity reviews with accepted criteria required...
Interqual or Milliman required High level of competency performing medical necessity reviews with accepted criteria required...
and benefit coverage. Applies UCLA Health protocols and national clinical guidelines (e.g., InterQual, Milliman) in review...
experience, preferred. 5. Experience in psychiatric emergency and triage preferred. 6. Knowledge of Milliman Criteria...
and computer literacy to interpret and apply medical care criteria, such as InterQual or Milliman Ambulatory Care Guidelines...
of Milliman Care Guidelines, preferred. Experience working with the Medicare and Medicaid population segment, preferred...
of Milliman Care Guidelines, preferred. Experience working with the Medicare and Medicaid population segment, preferred...
, such as InterQual or Milliman Ambulatory Care Guidelines. Must possess experience in performing prospective, concurrent...