programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...
preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-WM1 Employment Status: Full Time Shift...
applying medical management treatment guidelines, such as InterQual / McKesson, Milliman, or other practical management...
. Current BCLS (AHA) certificate upon hire and maintain current;5. Knowledge of Milliman Criteria and InterQual Criteria...
knowledge of InterQual® and Milliman® clinical criteria. Proven ability to evaluate operational workflows, develop policies...
current;5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic...
within 24 hours of admission and at least every 96 hours utilizing Milliman criteria determining appropriate patient status...
, clinical standards of care, NCQA requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, Medicaid/Medicare...
, discharge planning or nursing management, preferred. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria...
of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer skills...