programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
applying medical management treatment guidelines, such as InterQual / McKesson, Milliman, or other practical management...
such as Milliman's HCG Product management training or analytics product delivery experience Physical Requirements Repetitive...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-WM1 Employment Status: Full Time Shift...
Management standards, including accurate medical necessity and level-of-care reviews using Milliman Care Guidelines. Coordinate...
applying medical management treatment guidelines, such as InterQual / McKesson, Milliman, or other practical management...
. Current BCLS (AHA) certificate upon hire and maintain current;5. Knowledge of Milliman Criteria and InterQual Criteria...
knowledge of InterQual® and Milliman® clinical criteria. Proven ability to evaluate operational workflows, develop policies...