Case Manager
. Knowledge of Milliman Criteria and InterQual Criteria preferred....
. Knowledge of Milliman Criteria and InterQual Criteria preferred....
. Knowledge of Milliman Criteria and InterQual Criteria preferred....
, Skills and Abilities Preferred: Knowledge of milliman and/or interqual criteria, utilization review, discharge planning...
and best practices Maintains computer skills Education, Knowledge, Skills and Abilities Preferred: Knowledge of milliman...
Experience in use of Milliman/InterQual criteria Registered Nurse (RN) NYS license required PRI/Screen certification strongly...
Excellent communication and leadership skills;advanced knowledge of medical necessity reviews, Milliman and Interqual criteria...
-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring...
of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case Management in order to facilitate: (1...