Case Manager RN
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
InterQual or Milliman/MCG criteria to validate patient status decisions and payer medical necessity compliance. Reviews medical...
-Revenue Cycle Utilize Evidence -based clinical guideline tool (Milliman ® or InterQual ®)) Research and application...
-on experience with MCG (formerly Milliman Care Guidelines) Experience with utilization management and prior authorization workflows...
experience, Interqual, Milliman proficiency, EPIC proficiency Experience with Care Coordination Utilization review...
At least one-year experience in case management, discharge planning or management Current BLS (AHA) certificate Knowledge of Milliman...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
Interqual or Milliman required High level of competency performing medical necessity reviews with accepted criteria required...