Director, Care Management
, Milliman, or other practical management guidelines required Pay Range: USD $154,400.00 - USD $205,800.00 /Yr....
, Milliman, or other practical management guidelines required Pay Range: USD $154,400.00 - USD $205,800.00 /Yr....
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills...
, appropriateness of care and level of care. Use Milliman and Interqual guidelines as necessary. Collaborates with clinical teams...
, utilization management, or regulatory reporting (e.g., HEDIS, NCQA, Milliman) is preferred. To ensure a secure hiring process...
-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring...
or similar setting Proven awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid...
or similar setting Proven awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid...