and knowledge in basic to intermediate computer skills. 1. Current BCLS certificate preferred. 2. Knowledge of Milliman Criteria...
experience, preferred. 5. Experience in psychiatric emergency and triage preferred. 6. Knowledge of Milliman Criteria...
and computer literacy to interpret and apply medical care criteria, such as InterQual or Milliman Ambulatory Care Guidelines...
Interqual or Milliman required High level of competency performing medical necessity reviews with accepted criteria required...
Interqual or Milliman required High level of competency performing medical necessity reviews with accepted criteria required...
using electronic medical records or acute hospital utilization review using InterQual or Milliman. Working knowledge...
and benefit coverage. Applies UCLA Health protocols and national clinical guidelines (e.g., InterQual, Milliman) in review...
, such as InterQual or Milliman Ambulatory Care Guidelines. Must possess experience in performing prospective, concurrent...
of Milliman Care Guidelines, preferred. Experience working with the Medicare and Medicaid population segment, preferred...
, working knowledge of Intequal and/or Milliman. 3. Ability to train and direct employees. PREFERRED: 1. Bachelor's degree...