by capitated patients. · Assures Medicare Milliman Clinical Guideline (MCG) are used to document and communicate Intensity...
with Interqual or Milliman Care Guidelines Experience navigating the electronic medical record (Epic) The current salary range...
of service) within forty-eight hours of admissionKnowledge of Milliman Care Guidelines Knowledge of CMS guidelines for post-acute... needed based on Milliman Care Guidelines for approval of admission, transfer, length of stay, and safe discharge planningIdentifies...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
based on evidence-based clinical guidelines, i.e. Milliman Clinical Guidelines (MCG) and InterQual Criteria. Ensures... to this role: Knowledge of medical terminology. Working knowledge of InterQual, Milliman Care Guidelines, and Coding Rules...
, government payer and/or denial rules Required InterQual and/or Milliman (MCG) experience Required Licenses and Certifications...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
management, preferred. 4. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
within 24 hours of admission and at least every 96 hours utilizing Milliman criteria determining appropriate patient status...