but not required. Experience: Five years of related experience required. Knowledge of InterQual Milliman MCG and similar guidelines...
Experience 2 years of experience in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred...
) guidelines, Milliman Care guidelines, and other nationally recognized sources such as NCCN and ACOG. The Appeals and Grievance...
and other product lines. The role reports to the CFO and works closely with the Appointed Actuary at Milliman, outside investment...
, Medicaid/Medi-cal criteria, Interqual, Milliman, or Health Plan specific guidelines Collaborate with the Medical Director...
limitations. The ability to apply Interqual/ Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines...
preferred. CCM or obtained within 1year Current BCLS certificate preferred. Knowledge of Milliman Criteria and InterQual...
. Additional Qualifications That Are a Plus: Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience...
That Are a Plus: Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer...
in the medical record according to policy guidelines. Utilizes MCG- Milliman criteria to identify severity of illness...