for admission, observation, and level of care to comply with federal and state mandates. Uses Milliman and Medicare...
) certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. Pay Transparency St. Mary...
. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer...
or management, preferred. 3. Current BCLS (AHA) certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria...
, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Pay is based on several factors including...
management, discharge planning or management, preferred. 3. Current BCLS (AHA) certificate preferred. 4. Knowledge of Milliman...
preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-WM1 Employment Status: Full Time Shift...
about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Pay...
of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case Management in order to facilitate: (1...
requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Proven excellent...