and experience with medical terminology, InterQual or Milliman criteria, TJC and Federal/State regs, relative to discharge planning...
degree Knowledge of Milliman Guidelines or similar clinical guidelines Knowledge of medical management policies...
of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills...
. Knowledge of Milliman Criteria and InterQual Criteria preferred. To speak to a recruiter within 24 hours text...
, etc. Mastery level knowledge and command of iCAF capabilities and services and Milliman capabilities and services. Developing...
. Must have proficiency with online nationally recognized UM criteria, including Milliman Care Guidelines (MCG) and/or InterQual (IQ...
care setting is required. Knowledge of Inter-Qual and Milliman Care Guidelines, federal and state public health programs...
and performance audits Experience with InterQual and/or Milliman Care Guidelines (MCG) Telephonic queue experience Knowledge...
review, denials and appeals InterQual and basic understanding of Milliman Care guidelines Supervisory principles...
) Working toward or completion of CCM/CCP/CDE certification or Advanced degree Knowledge of Milliman Guidelines or similar...