-Current Version (CPT) coding;and McKesson (InterQual) and/or Milliman Care Guidelines. Life Support Certifications...
required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
. Master’s Degree in Nursing, or MBA preferred. Interqual Certified Instructor (ICQI) or Milliman training highly desired...
. Ability to work independently, setting priorities to coordinate care plans efficiently. Working knowledge of Milliman...
, appropriateness of care and level of care. Use Milliman and Interqual guidelines as necessary. Collaborates with clinical teams...
of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
Description : Who We Are Independent for over 75 years, Milliman delivers market-leading services and solutions.... Milliman invests in skills training and career development, and gives all employees access to a variety of learning...
is a subsidiary of Milliman;a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare... Account Executives in maintaining close collaboration and consistent communication with Milliman Consultants to advance...