of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer skills...
. Ability to work independently, setting priorities to coordinate care plans efficiently. Working knowledge of Milliman...
and Benefit Timeline. Enrollment Meetings – Conduct enrollment meetings as necessary Reporting ICAF/Milliman/DMW – Gather...
within 24 hours of admission and at least every 96 hours utilizing Milliman criteria determining appropriate patient status...
Current BLS (AHA) certificate Knowledge of Milliman Criteria Full benefits at Prime Healthcare: #LI-MP1 Employment...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
Current BLS (AHA) certificate Knowledge of Milliman Criteria and InterQual Criteria Full benefits at Prime Healthcare...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
, appropriateness of care and level of care. Use Milliman and Interqual guidelines as necessary. Collaborates with clinical teams...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...