evidence-based medicine, nationally recognized criteria (i.e. MCG (formally Milliman), InterQual, Centers for Medicare...
Prophet, Milliman ALFA/Integrate, Aon Benfield PathWise, Slope, PolySystems, among others. Strong writing, presentation...
Assignment of appropriate levels of care Completion of all required documentation in Milliman and EPIC Collaborates.... Completes utilization management and quality screening for assigned patients. Applies Milliman Criteria to monitor...
knowledge of Milliman Care Guidelines, preferred. Minimum of three years (3) in clinical medical/surgical nursing practice...
knowledge of Milliman Care Guidelines, preferred. Minimum of three years (3) in clinical medical/surgical nursing practice...
planning or management, preferred. 3. Current BCLS (AHA) certificate preferred. 4. Knowledge of Milliman Criteria...
. Additional Qualifications That Are a Plus: Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience...
That Are a Plus: Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer...
(AHA) certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. Pay Transparency St...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...