criteria such as InterQual and Milliman Care Guidelines. Perform retrospective medical record reviews to validate... required Experience with InterQual and/or Milliman Care Guidelines, and electronic medical record systems. What Would Be Nice...
: Certification in Case or Care Management;experience using InterQual or Milliman;Master?s degree preferred. Business Unit...
post-acute clinical payer authorizations. - Utilize InterQual and Milliman guidelines for reviews. - Conduct concurrent...
no call or floating required MUST HAVE experience with Milliman Care Guidelines and Acute Hospital Experience! The... Authorizations Utilize Milliman Guidelines CMS: Centers for Medicare and Medicaid Services CPT (Current Procedural Terminology...
preferred. Experience in use of Milliman/InterQual criteria. General Skills: Essential computer skills. If you're...
transitional planning (education, aftercare, payer coordination) Conduct Utilization Review (UR) (InterQual / Milliman) Support... to Case Management / UR Knowledge of InterQual or Milliman criteria preferred Strong communication, organization...
to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...
to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...
to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...