Director - Care Management
Required Required Experience using InterQual or Milliman Required Licenses and Certifications Licensure or eligible for licensure, in the state...
Required Required Experience using InterQual or Milliman Required Licenses and Certifications Licensure or eligible for licensure, in the state...
adult patients. 6. Knowledge of InterQual or Milliman Care Guidelines preferred. Why Mercy? From day one, Mercy...
, conflict resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines...
, clinical standards of care, NCQA requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, Medicaid/Medicare... requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Pref...
Level of Care Criteria or Milliman Care Guidelines and knowledge of local and national coverage determinations. ?Recent...
, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic...
but not required. Experience: Five years of related experience required. Knowledge of InterQual Milliman MCG and similar guidelines...
and other product lines. The role reports to the CFO and works closely with the Appointed Actuary at Milliman, outside investment...
principles, InterQual and/or Milliman criteria. At AdventHealth, our mission is to Extend the Healing Ministry of Christ...
Cross BLS) certification Preferred: Knowledge of InterQual and/or Milliman criteria Experience Qualifications: Minimum...