and/or Milliman Guidelines Care Coordination Discharge Planning Collaboration Denial Prevention and Management Regulatory...
and/or Milliman Guidelines Care Coordination Discharge Planning Collaboration Denial Prevention and Management Regulatory...
and/or Milliman Guidelines Care Coordination Discharge Planning Collaboration Denial Prevention and Management Regulatory...
and/or Milliman Guidelines Care Coordination Discharge Planning Collaboration Denial Prevention and Management Regulatory...
with Milliman (MCG) or InterQual guidelines Experience researching and preparing clinical information for case review...
adult patients. 6. Knowledge of InterQual or Milliman Care Guidelines preferred. Why Mercy? From day one, Mercy...
, conflict resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines...
biannual MCG-IRR testing (Milliman Care Guidelines-Inter Rator Reliability) that is administered to clinical and medical...
) Working toward or completion of CCM/CCP/CDE certification or Advanced degree Knowledge of Milliman Guidelines or similar...
, clinical standards of care, NCQA requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, Medicaid/Medicare... requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Pref...