(AHA) certificate upon hire and maintain current. Knowledge of Milliman Criteria and InterQual Criteria preferred...
(s) utilizing InterQual (IQ), Milliman Care Guidelines (MCG), or in accordance with CMS rules and regulations for medical necessity... and clinical data. Responsible for yearly re-education on industry standard criteria, i.e., InterQual/Milliman Care Guidelines...
, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic...
of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer skills...
planning or nursing management, preferred. 4. Current BLS certificate, preferred. 5. Knowledge of Milliman Criteria...
years of experience in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred Licenses...
but not required. Experience: Five years of related experience required. Knowledge of InterQual, Milliman, MCG, and similar guidelines...
– Conduct enrollment meetings as necessary Reporting ICAF/Milliman/DMW – Gather Data necessary and submit to carriers...
/Milliman/DMW – Gather Data necessary and submit to carriers. Compile information for Sr. Account Consultant/Executive Team Lead...
Required Experience using InterQual or Milliman Preferred Licenses and Certifications Current unrestricted registered nurse (RN...