. Knowledge of InterQual or Milliman Care Guidelines preferred. Ability to provide care coordination across diverse patient...
department or system-wide patient flow Assesses patients’ clinical presentation against Milliman Care Guidelines (MCG...
, and barriers to discharge. Perform utilization review and medical necessity assessments. Apply InterQual criteria and/or Milliman...
with Interqual or Milliman Care Guidelines Experience navigating the electronic medical record (Epic) The current salary range...
. Five (5) years of Case Management and/or Utilization Management experience. Working knowledge of MCG (Milliman Care...
. Five (5) years of Case Management and/or Utilization Management experience. Working knowledge of MCG (Milliman Care...
patients’ clinical presentation against Milliman Care Guidelines (MCG) to identify admission status, working DRG and target...
. Five (5) years of Case Management and/or Utilization Management experience. Working knowledge of MCG (Milliman Care...
, and multiple payer defined criteria for eligibility. Applies Milliman Careguidelines Criteria for appropriate status determination...
)Acute Hospital Case Management ExperienceFamiliarity with AllScripts Care ManagementProficiency with Milliman Care...