office environment SKILLS AND ABILITIES: 1. Working Knowledge of InterQual and/or Milliman Care Guidelines 2...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
upon hire and maintain current;Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred....
preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred....
and maintain current;Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic...
criteria using Milliman and communicates that information to payers, physicians, and other members of the health care team.... Run reviews through Milliman and, if criteria meets, discuss with Case Manager and if applicable sends commercial cases...
in Prior Authorization (PA) or Utilization Management (UM) is required. Experience with InterQual or Milliman guidelines... Management department. Experience with InterQual or Milliman. Strong organizational skills, attention to detail, and the...
criteria (e.g., Milliman Guidelines, InterQual) to determine appropriate levels of care and monitor resource utilization... denial letters. Proven ability to multitask effectively in a high-volume environment. Experience with Milliman Guidelines...
required. Experience in InterQual or Milliman Organizational skills, detailed oriented, able to work independently and make decision... Software Skills Required: InterQual Milliman, Microsoft Outlook, Basic Internet Skills Required Certifications: RN...