setting Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts...
and/or Milliman Care guidelines Experience working with Community Care, Facets, and ICUE programs *All employees working remotely...
and/or Milliman Care guidelines Experience working with Community Care, Facets, and ICUE programs *All employees working remotely...
experience Preferred Qualifications: Utilization review or case management experience Experience with Interqual or Milliman...
with health care payer claims analysis, payer reporting, Premier Quality Advisor, Midas Care Management, Milliman Medinsight...
. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience...
, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate...
management skills. Minimum of two years of experience utilizing Milliman Care Guidelines to justify Inpatient versus Observation...
’ experience in the acute care setting. Working knowledge of lnterQual IS-SI, Milliman nd Robertson Managed Care Guidelines...
in an acute care setting preferred. Working knowledge of InterQual IS-SI Milliman and Robertson Managed Care guidelines, Erickson...