Case Manager - Utilization Review
of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills. St...
of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills. St...
(CCS, CPC or CIC) preferred or willingness to obtain / maintain. 5+ years’ experience using InterQual or MCG/Milliman...
required Knowledge of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan...
with Milliman and/or InterQual Care Guidelines preferred We know you may have questions before applying. To speak to a recruiter...
. Knowledge of Milliman Criteria and InterQual Criteria preferred....
of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case Management in order to facilitate: (1...
) certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria preferred....
required Knowledge of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan...
. 2. Current BCLS (AHA) certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria preferred....
to established admission criteria using Milliman and communicates that information to payers, physicians, and other members of the... numbers for patients. Run reviews through Milliman and, if criteria meets, discuss with Case Manager and if applicable sends...