setting Experience applying Medicare and/or Medicaid guidelines Experience with Milliman (MCG) or InterQual guidelines...
like Milliman (MCG) or Medicare manuals. Coordination: Act as a liaison between patients, families, providers, and facilities...
for admission, observation, and level of care to comply with federal and state mandates. Uses Milliman and Medicare...
of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...
of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...
within established protocols Completes Utilization Management for assigned patients. a) Applies Milliman Care Guidelines (Indicia...
required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred...
or management, preferred. Current BCLS (AHA) certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria...
of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...
of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part...