in compliance with Medicare/CMS: NCD, LCD and Milliman guidelines for Inpatient, Outpatient, Skilled Facilities Level of Care... and Milliman guidelines. Act as a liaison between the medical staff, utilization review and third-party payers to effectively...
preferred. 6. Knowledge of Milliman Criteria and InterQual Criteria preferred. 7. Knowledge of psychiatric medical necessity...
;Discharge Planning;Utilize InterQual Criteria;Utilize Milliman Guidelines;UR Admission Criteria;UR Appeals and Denials;UR... Utilize Milliman Guidelines;CMS: Centers for Medicare and Medicaid Services;CPT (Current Procedural Terminology) coding...
in a healthcare setting using electronic medical records or acute hospital utilization review using InterQual or Milliman...
in a managed care outpatient or community environment, preferred. Recent working knowledge of Milliman Care Guidelines, preferred...
in a managed care outpatient or community environment, preferred. Recent working knowledge of Milliman Care Guidelines, preferred...
with Interqual or Milliman Care Guidelines Experience navigating the electronic medical record (Epic) The current salary range...
(AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
preferred. 3. Current BCLS certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI...
, discharge planning or nursing management, preferred. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria...