and Abilities Preferred: Knowledge of milliman and/or interqual criteria, utilization review, discharge planning and case...
. MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. MUST HAVE 6 months of Prior Authorization...
(AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
within 24 hours of admission and at least every 96 hours utilizing Milliman criteria determining appropriate patient status...
, applications, etc.) and Milliman care guidelines (MCGs) and standards. Knowledge of and experience with utilizing SDLC...
Previous Medicare experience a plus Utilization Management experience Milliman/MCG experience Work-At-Home Requirements...
in Discharge Planning or Utilization Management Experience working with Milliman MCG or CMS guidelines Health Plan...
Manager (CCM) Familiarity with AllScripts Care Management Proficiency with Milliman Care Guidelines or Interqual Bilingual...
Management. The UM Case Manager will provide high quality medical care review and service by appropriately applying the Milliman...