of acute care nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual...
preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Pay Transparency West Anaheim Medical Center...
patients Review medical records for admission and concurrent review requirements Apply MCG, Milliman, and InterQual criteria... BCLS certificate preferred Knowledge of Milliman Criteria and InterQual Criteria preferred Full benefits at Prime...
patients Review medical records for admission and concurrent review requirements Apply MCG, Milliman, and InterQual criteria... BCLS certificate preferred Knowledge of Milliman Criteria and InterQual Criteria preferred Full benefits at Prime...
or nursing management, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Behavioral Violence...
or nursing management, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Behavioral Violence...
, preventing downstream denials. Applies InterQual or Milliman/MCG criteria to validate patient status decisions and payer medical...
communication skills and critical thinking skills. Experience with Milliman MCG, InterQual criteria, and knowledge of IPRO...
Committee for Quality Assurance (NCQA). Knowledge of criteria set, including Milliman and InterQual. Ability to work well...
and expeditious transition of patients. Utilizes InterQual (IQ), Milliman Care Guidelines (MCG), or in accordance with CMS rules...