, government payer and/or denial rules Required InterQual and/or Milliman (MCG) experience Required Licenses and Certifications...
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts...
: Certification in Case or Care Management; experience using InterQual or Milliman; Master?s degree preferred. Business Unit : Name...
: Certification in Case or Care Management; experience using InterQual or Milliman; Master?s degree preferred. Business Unit : Name...