. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills...
to interpret patient medical records Knowledge of medical necessity screening criteria (e.g., Milliman, InterQual) Proficient...
Social Worker (LSW). 2. Current BCLS certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria...
and continued stay for medical necessity, appropriateness of care and level of care. Use Milliman and Interqual guidelines...
: Clinical screening criteria, such as InterQual and Milliman Care Guidelines (MCG) Medicare’s Prospective Payment System...: Clinical screening criteria, such as InterQual and Milliman Care Guidelines (MCG) Medicare’s Prospective Payment System...
behavioral health admissions, concurrent stays, and discharge planning. · Apply clinical criteria (e.g., InterQual, Milliman... review tools (InterQual, Milliman). · Strong understanding of behavioral health diagnoses, treatment modalities...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Compensation for this specialty generally ranges...
, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Compensation for this specialty generally ranges...