required. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer...
of acute care nursing experience. preferred 5. CCM or obtained within 1year 6. Knowledge of Milliman Criteria and InterQual...
. Knowledge of Milliman (MCG) criteria. PRI/screen certification. PHYSICAL WORKING CONDITIONS Sitting in a comfortable position... to assess clinical and discharge needs of orthopedic surgical patients. Knowledge of Milliman (MCG) criteria. PRI/screen...
upon hire and maintain current;Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
Leadership experience required. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
criteria or Milliman experience: Prefer some knowledge of CarePort, MCG, and/or InterQual. Prefer some Utilization Review...
planning, current knowledge/use of evidence-based admission criteria tools like Milliman Care Guidelines, knowledge of common...
. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-AM5 Employment Status: Per Diem Shift: Variable Equal...
against InterQual, MCG, or Milliman care guidelines to support admission and level-of-care determinations. Manage the physician advisor... of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two-Midnight Rule, observation status regulations...
clinical criteria including, but not limited to InterQual, Milliman Care Guidelines (MCG), etc. Collaborates with the Attending...