, but not limited to InterQual, Milliman Care Guidelines (MCG), etc. Collaborates with the Attending of record and the Physician Advisor...
for appropriateness of setting using industry standard utilization clinical criteria including, but not limited to InterQual, Milliman...
, but not limited to InterQual, Milliman Care Guidelines (MCG), etc. Collaborates with the Attending of record and the Physician Advisor...
like Milliman (MCG) or Medicare manuals. Coordination: Act as a liaison between patients, families, providers, and facilities...
of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...
for admission, observation, and level of care to comply with federal and state mandates. Uses Milliman and Medicare...
Coverage Determination (NCD) guidelines, Local Coverage Determination (LCD) Guidelines, DHCS Medi-Cal Guidelines, Milliman Care...
within established protocols Completes Utilization Management for assigned patients. a) Applies Milliman Care Guidelines (Indicia...
Experience with MCG (Milliman) or InterQual guidelines is Mandatory Job Type & Location This is a Contract position based...
Experience with MCG (Milliman) or InterQual guidelines is Mandatory Job Type & Location This is a Contract position based...