standards of care Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare...
in an acute care setting preferred. Working knowledge of InterQual IS-SI Milliman and Robertson Managed Care guidelines, Erickson...
, appropriateness of care and level of care. Use Milliman and Interqual guidelines as necessary. Collaborates with clinical teams...
in an acute care setting preferred. Working knowledge of InterQual IS-SI Milliman and Robertson Managed Care guidelines, Erickson...
or management, preferred. Current BCLS certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred...
based on evidence-based clinical guidelines, i.e. Milliman Clinical Guidelines (MCG) and InterQual Criteria. Ensures... to this role: Knowledge of medical terminology. Working knowledge of InterQual, Milliman Care Guidelines, and Coding Rules...
of Milliman Criteria and InterQual Criteria preferred. Pay Transparency Sherman Oaks Hospital offers competitive compensation...
by capitated patients. · Assures Medicare Milliman Clinical Guideline (MCG) are used to document and communicate Intensity...
of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case Management in order to facilitate: (1...
assignments. Current InterQual and Milliman criteria knowledge. Experience in using systems that support Utilization Review...