Preferred: 1. Knowledge of milliman and/or interqual criteria, utilization review, discharge planning and case management...
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...
(CCS, CPC or CIC) preferred or willingness to obtain / maintain. 5+ years’ experience using InterQual or MCG/Milliman...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
knowledge of InterQual or Milliman criteria. 1 year utilization review in an acute hospital or commercial/managed care payer...
certification or Advanced degree Knowledge of Milliman Guidelines or similar clinical guidelines Knowledge of medical management...
required Knowledge of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan...
. Knowledge of Milliman Criteria and InterQual Criteria preferred....
of treatments (e.g., CMS, Milliman Care Guidelines, InterQual, or health plan specific guidelines/criteria). Examine and evaluate...