BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
the patient's admission and continued stay for medical necessity, appropriateness of care and level of care. Use Milliman...
to come in with it. 5–8 years of relevant experience at a Medicare Advantage health plan or actuarial/consulting firm (Milliman, Wakely...
’ clinical presentation against Milliman Care Guidelines (MCG) to identify admission status, working DRG and target...
on preventing and appealing denials and educates on medical necessity criteria such as InterQual and/or Milliman Care Guidelines...
-based criteria such as InterQual or Milliman Care Guidelines (MCG) to evaluate admissions, continued stays, and discharge...
preferred. Experience using healthcare web based applications, Milliman, Interqual, etc. , preferred. * Basic computer...
At least one-year experience in case management, discharge planning or management Current BLS (AHA) certificate Knowledge of Milliman...
Current BLS (AHA) certificate Knowledge of Milliman Criteria and InterQual Criteria Full benefits at Prime Healthcare...