, preferred. Recent working knowledge of Milliman Care Guidelines, preferred. License & Certifications: Active, unrestricted...
current;5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic...
. Current BCLS (AHA) certificate upon hire and maintain current;5. Knowledge of Milliman Criteria and InterQual Criteria...
, but not limited to InterQual, Milliman Care Guidelines (MCG), etc. Collaborates with the Attending of record and the Physician Advisor...
within established protocols Completes Utilization Management for assigned patients. a) Applies Milliman Care Guidelines (Indicia...
of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...
Coverage Determination (NCD) guidelines, Local Coverage Determination (LCD) Guidelines, DHCS Medi-Cal Guidelines, Milliman Care...
, discharge planning or management, preferred. Current BCLS (AHA) certificate preferred. Knowledge of Milliman Criteria...
regulations as well as coverage guidelines and benefit limitations. The ability to apply Interqual/ Milliman Care Guidelines...
or management, preferred. Current BCLS (AHA) certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria...