required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred...
and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred. For UM Only: Experience must be with a Managed...
within established protocols Completes Utilization Management for assigned patients. a) Applies Milliman Care Guidelines (Indicia...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...
of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...
Utilization Management for assigned patients. a) Applies Milliman Care Guidelines (Indicia) criteria to monitor appropriateness...
criteria and guidelines, ensuring the medical necessity of treatments (e.g., CMS, Milliman Care Guidelines, InterQual...
with Interqual or Milliman Care Guidelines Experience navigating the electronic medical record (Epic) The current salary range...
, Application of Milliman Care Guidelines and InterQual criteria, severity of illness and intensity of service, Level of care...