criteria sets and clinical pathways, such as MCG (Milliman Care Guidelines) or InterQual. (Preferred) Familiarity...
’ experience in Healthcare setting preferred Milliman Guidelines, evidence-based clinical practice, that help determine the...
regulations requiredKnowledge of Milliman criteria (MCG) preferredFor UM Only: Experience must be with a Managed Care Organization...
) and/or Milliman Care Guidelines. Performs prospective, concurrent, and retrospective reviews to justify medical necessity...
, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
. Ability to work independently, setting priorities to coordinate care plans efficiently. Working knowledge of Milliman...
: Clinical screening criteria, such as InterQual and Milliman Care Guidelines (MCG) Medicare’s Prospective Payment System...
, but not limited to InterQual, Milliman Care Guidelines (MCG), etc. Collaborates with the Attending of record and the Physician Advisor...
Milliman Care Guidelines) Viseo software experienced user, is preferred Required Licensures/Certifications/Registrations...