: Certification in Case or Care Management;experience using InterQual or Milliman;Master?s degree preferred. Business Unit : Name...
QUALIFICATIONS: Certification in Case or Care Management;experience using InterQual or Milliman;Master's degree preferred...
to interpret patient medical records Knowledge of medical necessity screening criteria (e.g., Milliman, InterQual) Proficient...
and continued stay for medical necessity, appropriateness of care and level of care. Use Milliman and Interqual guidelines...
behavioral health admissions, concurrent stays, and discharge planning. · Apply clinical criteria (e.g., InterQual, Milliman... review tools (InterQual, Milliman). · Strong understanding of behavioral health diagnoses, treatment modalities...
, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Compensation for this specialty generally ranges...
, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Compensation for this specialty generally ranges...
with Life team at IHL, Milliman, and IRIX. Medical investigation and follow up for policies pending for further medical review...
with Life team at IHL, Milliman, and IRIX. Medical investigation and follow up for policies pending for further medical review...
of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan...