Director of Case Management - Utilization Management
and knowledge in basic to intermediate computer skills. 1. Current BCLS certificate preferred. 2. Knowledge of Milliman Criteria...
and knowledge in basic to intermediate computer skills. 1. Current BCLS certificate preferred. 2. Knowledge of Milliman 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...
, Application of Milliman Care Guidelines and InterQual criteria, severity of illness and intensity of service, Level of care...
with Interqual or Milliman Care Guidelines Experience navigating the electronic medical record (Epic) The current salary range...
based on evidence-based clinical guidelines, i.e. Milliman Clinical Guidelines (MCG) and InterQual Criteria. Ensures... to this role: Knowledge of medical terminology. Working knowledge of InterQual, Milliman Care Guidelines, and Coding Rules...
-Current Version (CPT) coding;and McKesson (InterQual) and/or Milliman Care Guidelines. Life Support Certifications...
years of experience in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred Licenses...
but not required. Experience: Five years of related experience required. Knowledge of InterQual, Milliman, MCG, and similar guidelines...
with InterQual or Milliman Guidelines. Essential Functions Census and rounds Reviews every patient under assigned workload...