for ongoing InterQual/Milliman compliance, quality improvement, and utilization review per CMS guidelines and hospital policy...
preferred. Experience using healthcare web based applications, Milliman, Interqual, etc. , preferred. * Basic computer...
preferred. Experience in Milliman and Interqual preferred. Leadership experience, knowledge of legal aspects of coding... experience preferred. Experience using healthcare web based applications, Milliman, Interqual, etc. , preferred. Basic...
-based criteria such as InterQual or Milliman Care Guidelines (MCG) to evaluate admissions, continued stays, and discharge...
Current BLS (AHA) certificate Knowledge of Milliman Criteria and InterQual Criteria Full benefits at Prime Healthcare...
At least one-year experience in case management, discharge planning or management Current BLS (AHA) certificate Knowledge of Milliman...
-based criteria such as InterQual or Milliman Care Guidelines (MCG) to evaluate admissions, continued stays, and discharge...
-based criteria such as InterQual or Milliman Care Guidelines (MCG) to evaluate admissions, continued stays, and discharge...
medical necessity screening tools such as Milliman Care Guidelines (MCG) are utilized. Ensures initial and continued stay... appropriate medical necessity screening tools such as Milliman Care Guidelines (MCG) are utilized. Ensures clinical reviews...
years of Clinical experience in hospital or medical office/clinic setting. Experience with Milliman criteria. Preferred...