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