required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred...
and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred. For UM Only: Experience must be with a Managed...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
Utilization Management for assigned patients. a) Applies Milliman Care Guidelines (Indicia) criteria to monitor appropriateness...
of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...
of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...
criteria and guidelines, ensuring the medical necessity of treatments (e.g., CMS, Milliman Care Guidelines, InterQual...
, Application of Milliman Care Guidelines and InterQual criteria, severity of illness and intensity of service, Level of care...
with Interqual or Milliman Care Guidelines Experience navigating the electronic medical record (Epic) The current salary range...
of service) within forty-eight hours of admissionKnowledge of Milliman Care Guidelines Knowledge of CMS guidelines for post-acute... needed based on Milliman Care Guidelines for approval of admission, transfer, length of stay, and safe discharge planningIdentifies...