with Life team at IHL, Milliman, and IRIX. Medical investigation and follow up for policies pending for further medical review...
of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan...
in a health plan setting. (Preferred) Prior use of clinical criteria sets and clinical pathways, such as MCG ( Milliman Care...
, discharge planning or management, preferred. 3. Current BCLS (AHA) certificate preferred. 4. Knowledge of Milliman Criteria...
and new processes, on our state-of-the-art Milliman Integrate Actuarial platform Develop and maintain testing tools for new...
Social Worker (LCSW), or Licensed Social Worker (LSW). 2. Current BCLS certificate preferred. 3. Knowledge of Milliman...
within 24 hours of admission and at least every 96 hours utilizing Milliman criteria determining appropriate patient status...
and continued stay for medical necessity, appropriateness of care and level of care. Use Milliman and Interqual guidelines...
, discharge planning or nursing management, preferred. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria...
(AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...