for neonatal, pediatric, adolescent, adult, and geriatric patients. Knowledge of InterQual or Milliman Care Guidelines preferred...
Interqual or Milliman required High level of competency performing medical necessity reviews with accepted criteria...
Social Worker (LCSW), or Licensed Social Worker (LSW). 2. Current BCLS certificate preferred. 3. Knowledge of Milliman...
of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills...
and drug policies, medical protocols, National Comprehensive Cancer Network, Milliman Care Guidelines, Drugdex...
Social Worker (LSW). 2. Current BCLS certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria...
proactively to inform and alert upper management of anticipated delays. Reviews clinical against Milliman criteria to help...
Required Experience using InterQual or Milliman Preferred Licenses and Certifications Current unrestricted registered nurse (RN...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
, clinical standards of care, NCQA requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, Medicaid/Medicare...