and apply medical care criteria, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines. Shall have a minimum...
business. We use a variety of resources, platforms and modeling tools that include Moody’s GGY Axis, Milliman Integrate, MS...
years of experience in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred Licenses...
QUALIFICATIONS: Certification in Case or Care Management;experience using InterQual or Milliman;Master's degree preferred...
: Certification in Case or Care Management;experience using InterQual or Milliman;Master's degree preferred. Business Unit : Name...
: Certification in Case or Care Management;experience using InterQual or Milliman;Master?s degree preferred. Business Unit : Name...
of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
to interpret patient medical records Knowledge of medical necessity screening criteria (e.g., Milliman, InterQual) Proficient...
and continued stay for medical necessity, appropriateness of care and level of care. Use Milliman and Interqual guidelines...