of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
and knowledge in basic to intermediate computer skills. 1. Current BCLS certificate preferred. 2. Knowledge of Milliman Criteria...
or insurance setting Experience applying Medicare and/or Medicaid guidelines Experience with Milliman (MCG) or InterQual...
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...
members on concepts as needed. Provide training on DRG & Clinical Validation, Short Stay, to include Milliman, InterQual...
functions. 1. Standard office environment SKILLS AND ABILITIES: 1. Working Knowledge of InterQual and/or Milliman Care...
limitations. The ability to apply Interqual/ Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines...
Experience 2 years of experience in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred...
recordkeeping Global support Coordinate with Milliman’s offices in the UK and Australia on similar responsibilities... into this role will be required to work in-person in the Milliman office in Chicago, IL on a weekly basis, but flexible work...
. Ability to work independently, setting priorities to coordinate care plans efficiently. Working knowledge of Milliman...