within 24 hours of admission and at least every 96 hours utilizing Milliman criteria determining appropriate patient status...
within 24 hours of admission and at least every 96 hours utilizing Milliman criteria determining appropriate patient status...
’ experience in Healthcare setting preferred Milliman Guidelines, evidence-based clinical practice, that help determine the...
criteria sets and clinical pathways, such as MCG (Milliman Care Guidelines) or InterQual. (Preferred) Familiarity...
regulations requiredKnowledge of Milliman criteria (MCG) preferredFor UM Only: Experience must be with a Managed Care Organization...
) and/or Milliman Care Guidelines. Performs prospective, concurrent, and retrospective reviews to justify medical necessity...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic...
: Clinical screening criteria, such as InterQual and Milliman Care Guidelines (MCG) Medicare’s Prospective Payment System...
. Ability to work independently, setting priorities to coordinate care plans efficiently. Working knowledge of Milliman...