, Skills and Abilities Preferred: Knowledge of milliman and/or interqual criteria, utilization review, discharge planning...
documentation and criteria for admission, observation, and level of care to comply with federal and state mandates. Uses Milliman...
and best practices Maintains computer skills Education, Knowledge, Skills and Abilities Preferred: Knowledge of milliman...
, preferred current BCLS (AHA) certificate, preferred knowledge of Milliman Criteria and InterQual Criteria, preferred #LI...
experience of Milliman’s analytics tools such as MedInsight Health Cost Guidelines (HCG) Grouper, Milliman Advanced Risk...
management, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria...
in the medical record according to policy guidelines. Utilizes MCG- Milliman criteria to identify severity of illness...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
to coordinate care plans efficiently. Working knowledge of Milliman criteria preferred. Physical Requirements: N: Never...
resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines and third...