. Working Knowledge of InterQual and/or Milliman Care Guidelines 2. Demonstrated knowledge of federal and state laws, NCQA...
, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate...
and best practices. Maintains computer skills. Education, Knowledge, Skills and Abilities Preferred: 1. Knowledge of milliman...
Preferred: 1. Knowledge of milliman and/or interqual criteria, utilization review, discharge planning and case management...
(CCS, CPC or CIC) preferred or willingness to obtain / maintain. 5+ years’ experience using InterQual or MCG/Milliman...
of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills. St...
, conflict resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines...
required Knowledge of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan...
of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case Management in order to facilitate: (1...
. Knowledge of Milliman Criteria and InterQual Criteria preferred....