Clinical Coordinator / Case Manager
Knowledge of terminology CPT codes and ICD 10 Bilingual preferred Knowledge of InterQual or Milliman Care Guidelines preferred...
Knowledge of terminology CPT codes and ICD 10 Bilingual preferred Knowledge of InterQual or Milliman Care Guidelines preferred...
Knowledge of terminology CPT codes and ICD 10 Bilingual preferred Knowledge of InterQual or Milliman Care Guidelines preferred...
is a subsidiary of Milliman;a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare... upselling and cross-selling MedInsight and Milliman solutions. Expanding the use of MedInsight products within client...
by capitated patients. · Assures Medicare Milliman Clinical Guideline (MCG) are used to document and communicate Intensity...
, appropriateness of care and level of care. Use Milliman and Interqual guidelines as necessary. Collaborates with clinical teams...
standards of care Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare...
in an acute care setting preferred. Working knowledge of InterQual IS-SI Milliman and Robertson Managed Care guidelines, Erickson...
in an acute care setting preferred. Working knowledge of InterQual IS-SI Milliman and Robertson Managed Care guidelines, Erickson...
based on evidence-based clinical guidelines, i.e. Milliman Clinical Guidelines (MCG) and InterQual Criteria. Ensures... to this role: Knowledge of medical terminology. Working knowledge of InterQual, Milliman Care Guidelines, and Coding Rules...
of Milliman Criteria and InterQual Criteria preferred. Pay Transparency Sherman Oaks Hospital offers competitive compensation...