CASE MANAGER
criteria, Milliman Care Guidelines (MCG), Perspective Payment System and medical terminology is necessary. The individual...
criteria, Milliman Care Guidelines (MCG), Perspective Payment System and medical terminology is necessary. The individual...
or nursing management, preferred. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual...
Preferred: Knowledge of milliman and/or interqual criteria, utilization review, discharge planning and case management...
, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate...
skills Education, Knowledge, Skills and Abilities Preferred: Knowledge of milliman and/or interqual criteria, utilization...
of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills. 7...
– Conduct enrollment meetings as necessary Reporting ICAF/Milliman/DMW – Gather Data necessary and submit to carriers...
. Use Milliman and Interqual guidelines as needed. Plans for discharges and care assessments. Submits required clinical information...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
of insurance industry pre-certification and utilization/case management criteria such as InterQual and/or Milliman Must possess...