Case Manager RN
. Apply Milliman Care Guidelines and payer-specific criteria to determine appropriate patient status. Collaborate with attending...
. Apply Milliman Care Guidelines and payer-specific criteria to determine appropriate patient status. Collaborate with attending...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
- Clinical experience in hospital or medical office/clinic setting. Experience with Milliman criteria. Preferred...
management training is required. DRG Assignment and Interqual and/or Milliman is preferred. SPECIAL SKILLS...
setting. Experience with Milliman criteria. Preferred Qualifications: Bachelor's Degree in Nursing or related field...
, adolescent, adult, and geriatric patients. Knowledge of InterQual or Milliman Care Guidelines preferred. Why Mercy...
setting. Experience with Milliman criteria. Preferred Qualifications: Bachelor's Degree in Nursing or related field...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
and/or Milliman criteria Evaluate medical necessity, level of care, and documentation accuracy Ensure compliance with Medicare...) Experience with InterQual (must be able to pass exam) Experience with Milliman guidelines Preferred Background in Case...