criteria and guidelines, ensuring the medical necessity of treatments (e.g., CMS, Milliman Care Guidelines, InterQual...
criteria and guidelines, ensuring the medical necessity of treatments (e.g., CMS, Milliman Care Guidelines, InterQual...
, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Bilingual in English/Spanish...
such as Milliman Care Guidelines or Interqual. Minimum of three (3) years related case management experience. Minimum of three (3...
(e.g., InterQual, Milliman) to ensure optimal resource utilization and quality outcomes. Collaborate...
. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-JB4...
. Current BCLS certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria preferred. Centinela Hospital...
or discharge planner interacting with managed care payers. Experience with InterQual or Milliman Guidelines. Essential...
. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-JB4...
preferred. 2. Current BCLS certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria preferred...