communication skills Experience with clinical decision-making criteria sets (i.e. Milliman, InterQual) Strong interpersonal...
, medical criteria, and discharge planning. Must be proficient with Interqual or Milliman guidelines and use. Proficient...
guidelines. Utilizes MCG- Milliman criteria to identify severity of illness & intensity of service for appropriate utilization...
criteria (e.g., Milliman Guidelines, InterQual) to determine appropriate levels of care and monitor resource utilization... denial letters. Proven ability to multitask effectively in a high-volume environment. Experience with Milliman Guidelines...
. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience...
is looking for a Clinical Documentation Reviewer. Job Duties Applies Inter Qual Level of Care and/or Milliman criteria to all admissions...
, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate...
and/or Milliman. 3. Ability to train and direct employees. PREFERRED: 1. Bachelor's degree in nursing. Five years of experience...
, appropriateness of care and level of care. Use Milliman and InterQual guidelines as necessary. Begins discharge planning and care...
, working knowledge of Intequal and/or Milliman. 3. Ability to train and direct employees. PREFERRED: 1. Bachelor's degree...