preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Saint Francis Hospital offers competitive...
department or system-wide patient flow Assesses patients’ clinical presentation against Milliman Care Guidelines (MCG...
preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Saint Francis Hospital offers competitive...
, hospice, sleep studies Milliman or IQ computer experience Benefits: RN/ LPN Prior Authorization Nurse Immediate...
to apply Interqual/ Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines will be vital to this role...
to apply Interqual/ Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines will be vital to this role...
. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience...
established criteria and guidelines, ensuring the medical necessity of treatments (e.g., CMS, Milliman Care Guidelines, InterQual...
in Benefit Point. Capable of Gathering and Analyzing ICAF, Milliman, Aggregate and DMW reports. Initiate own correspondence...
. Qualifications: Knowledge, skills and computer literacy to interpret and apply medical care criteria, such as InterQual or Milliman...