(required) · Previous Utilization Review experience (preferred) · Milliman experience (preferred) · Knowledge of NCQA (preferred..., Care Coordination, or Discharge Planning, Case Management, Milliman, NCQA...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...
resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines and third...
care nursing experience. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria...
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...
QUALIFICATIONS: Experience in a pediatric acute hospital Familiarity with Interqual or Milliman Care Guidelines Experience...
with Inpatient Case Management and/or Outpatient Care Management Have an understanding of nationally recognized criteria Milliman...