of medical necessity review experience. A minimum of 1+ years of InterQual criteria and/or Milliman Care Guidelines (MCG...
. Proficient in Allscripts EMR, Allscripts CM software program, Milliman Care Guidelines (MCG), IDX and 3M within 6 months...
preferred. Current BCLS (AHA) certificate upon hire and maintain current. Knowledge of Milliman Criteria and InterQual...
field preferred. Current BCLS (AHA) certificate upon hire and maintain current. Knowledge of Milliman Criteria...
certification (CCS, CPC or CIC) preferred or willingness to obtain / maintain. 5+ years’ experience using InterQual or MCG/Milliman...
years of clinical experience in hospital or medical office/clinic setting. Experience with Milliman criteria. Preferred...
(AHA) certificate, preferred Knowledge of Milliman Criteria and InterQual Criteria preferred Experience and knowledge...
(AHA) certificate, preferred Knowledge of Milliman Criteria and InterQual Criteria preferred Experience and knowledge...
Required Experience using InterQual or Milliman Preferred Licenses and Certifications Current unrestricted registered nurse (RN...
for admission, observation, and level of care to comply with federal and state mandates. Uses Milliman and Medicare...