-based criteria such as InterQual or Milliman Care Guidelines (MCG) to evaluate admissions, continued stays, and discharge...
-based criteria such as InterQual or Milliman Care Guidelines (MCG) to evaluate admissions, continued stays, and discharge...
medical necessity screening tools such as Milliman Care Guidelines (MCG) are utilized. Ensures initial and continued stay... appropriate medical necessity screening tools such as Milliman Care Guidelines (MCG) are utilized. Ensures clinical reviews...
Familiarity with CPT coding and ICD-10 terminology Knowledge of InterQual or Milliman Care Guidelines preferred Bilingual...
. Current BCLS certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-SM6...
of Milliman/InterQual criteria. General Skills: Essential computer skills....
is preferred. Current BLS certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-AM5...
. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-AM5 Employment Status: Per Diem Shift: Variable Equal...
in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred Licenses and Certifications RN...
): Conduct thorough clinical reviews using established guidelines (such as Milliman or InterQual) to manage commercial payer... Knowledge: Hands-on experience utilizing InterQual or Milliman Criteria for utilization review. Location and Work Type Work...