or nursing management, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Behavioral Violence...
or nursing management, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Behavioral Violence...
, preventing downstream denials. Applies InterQual or Milliman/MCG criteria to validate patient status decisions and payer medical...
communication skills and critical thinking skills. Experience with Milliman MCG, InterQual criteria, and knowledge of IPRO...
management, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria...
Committee for Quality Assurance (NCQA). Knowledge of criteria set, including Milliman and InterQual. Ability to work well...
and expeditious transition of patients. Utilizes InterQual (IQ), Milliman Care Guidelines (MCG), or in accordance with CMS rules...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred...
with Interqual or Milliman guidelines and use. Proficient in process improvement, and performance monitoring. Required Work...