. Ability to work independently, setting priorities to coordinate care plans efficiently. Working knowledge of Milliman...
Assignment of appropriate levels of care Completion of all required documentation in Milliman and EPIC Collaborates.... Completes utilization management and quality screening for assigned patients. Applies Milliman Criteria to monitor...
Assignment of appropriate levels of care Completion of all required documentation in Milliman and EPIC Collaborates.... Completes utilization management and quality screening for assigned patients. Applies Milliman Criteria to monitor...
/Milliman/DMW – Gather Data necessary and submit to carriers. Compile information for Sr. Account Consultant/Executive Team Lead...
planning or management Current BLS (AHA) certificate Knowledge of Milliman Criteria and InterQual Criteria Full benefits...
) certificate Knowledge of Milliman Criteria and InterQual Criteria Full benefits at Prime Healthcare: #LI-MP1 Pay...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...
experience (preferred) Microsoft Suite (Word, Excel, Outlook) preferred Milliman experience (preferred) Keywords: Talroo... experience, Milliman...
, and PowerPoint Req Knowledge of CM standards, UM standards, clinical standards of care, NCQA requirements, CMS guidelines, Milliman...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...