Milliman Care Guidelines) Viseo software experienced user, is preferred Required Licensures/Certifications/Registrations...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
of Milliman Care Guidelines, preferred. Experience working with the Medicare and Medicaid population segment, preferred...
of Milliman Care Guidelines, preferred. Experience working with the Medicare and Medicaid population segment, preferred...
or nursing management, preferred. 4. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual...
: Certification in Case or Care Management;experience using InterQual or Milliman;Master?s degree preferred. Business Unit...
criteria such as InterQual and Milliman Care Guidelines. Perform retrospective medical record reviews to validate... with InterQual and/or Milliman Care Guidelines, and electronic medical record systems. Experience with inpatient level‑of‑care...
. Fully insured experience preferred. Intermediate Excel experience preferred. Milliman experience preferred. Job Level...
such as HCC and CDPS Familiarity with claims groupers such as Milliman's HCG Product management training or analytics product...
– Conduct enrollment meetings as necessary Reporting ICAF/Milliman/DMW – Gather Data necessary and submit to carriers...