setting Experience applying Medicare and/or Medicaid guidelines Experience with Milliman (MCG) or InterQual guidelines...
setting Experience applying Medicare and/or Medicaid guidelines Experience with Milliman (MCG) or InterQual guidelines...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
Prophet, Milliman ALFA/Integrate, Aon Benfield PathWise, Slope, PolySystems, among others. Strong writing, presentation...
like Milliman (MCG) or Medicare manuals. Coordination: Act as a liaison between patients, families, providers, and facilities...
. Current BCLS (AHA) certificate upon hire and maintain current;5. Knowledge of Milliman Criteria and InterQual Criteria...
current;5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic...
criteria and/or Milliman Care Guidelines (MCG) experience Knowledge of medical records, medical terminology, and disease...
for admission, observation, and level of care to comply with federal and state mandates. Uses Milliman and Medicare...
planning or nursing management, preferred. 4. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria...