BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred....
preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred....
to support care management initiatives and sound decision-making for review determinations. Utilizes InterQual, Milliman...
information. Understands and uses InterQual or Milliman criteria. Documents response to case management referrals. Supports Case...
or claims auditing required Experience using Milliman or InterQual criteria required Ability to work during normal business...
required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred...
or claims auditing required Experience using Milliman or InterQual criteria required Ability to work during normal business...
management including InterQual and Milliman standards. Working knowledge of billing codes, Revenue Codes, CPTs, NCD/LCDs...
use of clinical criteria sets and clinical pathways, such as MCG ( Milliman Care Guidelines) , Interqual® or others. (Preferred...