, actuarial systems (e.g., PeopleSoft GL, Triton, Milliman ALFA) data architecture, data integrations and cloud platforms Proven...
management skills. Minimum of two years of experience utilizing Milliman Care Guidelines to justify Inpatient versus Observation...
within 24 hours of admission and at least every 96 hours utilizing Milliman criteria determining appropriate patient status...
-Current Version (CPT) coding;and McKesson (InterQual) and/or Milliman Care Guidelines. Life Support Certifications...
, actuarial systems (e.g., PeopleSoft GL, Triton, Milliman ALFA) data architecture, data integrations and cloud platforms Proven...
, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic...
-Revenue Cycle Utilize Evidence -based clinical guideline tool (Milliman ® or InterQual ®)) Research and application...
planning or nursing management, preferred. 4. Current BLS certificate, preferred. 5. Knowledge of Milliman Criteria...
of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer skills...
(AHA) certificate upon hire and maintain current. Knowledge of Milliman Criteria and InterQual Criteria preferred...