. Demonstrates working knowledge about different industry criteria sets like Milliman, and InterQual. 3. Demonstrates in depth... required (such as InterQual or Milliman) Knowledge, Skills and Abilities - Strong clinical assessment skills, excellent interpersonal skills...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
with Milliman Care Guidelines (MCG) UM chart review in EPIC within the last 12 months: Required Licenses/Certifications...
with Milliman Care Guidelines (MCG) UM chart review in EPIC within the last 12 months: Required Licenses/Certifications...
mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM (American Society of Addiction...
and knowledge in basic to intermediate computer skills. 1. Current BCLS certificate preferred. 2. Knowledge of Milliman Criteria...
or insurance setting Experience applying Medicare and/or Medicaid guidelines Experience with Milliman (MCG) or InterQual...
and knowledge in basic to intermediate computer skills. 1. Current BCLS certificate preferred. 2. Knowledge of Milliman Criteria...
by capitated patients. · Assures Medicare Milliman Clinical Guideline (MCG) are used to document and communicate Intensity...
by capitated patients. · Assures Medicare Milliman Clinical Guideline (MCG) are used to document and communicate Intensity...