Leadership experience required. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
and appropriateness by referencing regulatory mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM...
Previous Case Management experience preferred Preferred 1-3 years Experience in the use of Milliman/InterQual criteria...
Previous Case Management experience preferred Preferred 1-3 years Experience in the use of Milliman/InterQual criteria...
with InterQual and utilization review/management required Experience with CCM, ACM, or Milliman criteria preferred Basic Life...
Required Required Experience using InterQual or Milliman Required Licenses and Certifications Licensure or eligible for licensure, in the state...
-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...
in the medical record according to policy guidelines. Utilizes MCG- Milliman criteria to identify severity of illness...