for admission, observation, and level of care to comply with federal and state mandates. Uses Milliman and Medicare...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts...
. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6...
-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring...
, Milliman, or other practical management guidelines required Pay Range: USD $154,400.00 - USD $205,800.00 /Yr....
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...