. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...
and/or Medicaid (CDPS Rx, Milliman, Mercer), Quality (HEDIS / STARS) measure performance, Population Health including population...
-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring...
of Milliman Criteria and InterQual Criteria preferred. Current BCLS certificate, preferred Pay Transparency: Chino Valley...
or nursing management, preferred. Current BCLS (AHA) certificate upon hire and maintain current;. Knowledge of Milliman...
;. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer...
Applies Interqual (McKesson)/Milliman or other facility endorsed in- and out-patient evidence-based programs to monitor Length... to apply Interqual/Milliman as well as other evidence based guidelines addressing entitlements and LOD. Must have knowledge of relevant...
/Management required Experience with CCM, ACM, or Milliman preferred BLS required upon submission...
/Management required Experience with CCM, ACM, or Milliman preferred BLS required upon submission...
QUALIFICATIONS: Experience in a pediatric acute hospital Familiarity with Interqual or Milliman Care Guidelines Experience...