. Current BCLS (AHA) certificate upon hire and maintain current;5. Knowledge of Milliman Criteria and InterQual Criteria...
of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan. Pay Range...
within 1year BS or BSN or related field preferred. Current BCLS certificate preferred. Knowledge of Milliman Criteria...
of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan...
and outpatient services, applying CMS guidelines and Milliman Care Guidelines (MCG) to support timely, accurate determinations... additional expertise. 2. Utilize CMS guidelines (LCD, NCD) to assist in determinations of referrals and utilize Milliman Care...
of Milliman criteria (MCG) preferred. Pay Range: USD $85,000.00 - USD $106,300.00 /Yr....
for reimbursement and reason(s) for denials by auditors. Knowledge in areas such as InterQual Level of Care and Milliman & Robertson...
resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines and third...
certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Employment Status Full Time Shift...
and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance...