. Ability to work independently, setting priorities to coordinate care plans efficiently. Working knowledge of Milliman...
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...
in case management, discharge planning or management Current BLS (AHA) certificate Knowledge of Milliman Criteria Full...
within 24 hours of admission and at least every 96 hours utilizing Milliman criteria determining appropriate patient status...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Pay is based on several factors including...
Current BLS (AHA) certificate Knowledge of Milliman Criteria Full benefits at Prime Healthcare: #LI-MP1 Employment...
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...