Level of Care Criteria or Milliman Care Guidelines and knowledge of local and national coverage determinations. ?Recent...
, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
with organizational and regulatory standards. Utilize National Coverage Determination (NCD), Local Coverage Determination (LCD), Milliman...
limitations. The ability to apply Interqual/ Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines...
. Demonstrates working knowledge about different industry criteria sets like Milliman, and InterQual. 3. Demonstrates in depth... required (such as InterQual or Milliman) Knowledge, Skills and Abilities - Strong clinical assessment skills, excellent interpersonal skills...
but not required. Experience: Five years of related experience required. Knowledge of InterQual Milliman MCG and similar guidelines...
Experience 2 years of experience in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred...
) guidelines, Milliman Care guidelines, and other nationally recognized sources such as NCCN and ACOG. The Appeals and Grievance...
and other product lines. The role reports to the CFO and works closely with the Appointed Actuary at Milliman, outside investment...