years of acute care nursing experience. preferred CCM or obtained within 1year Knowledge of Milliman Criteria...
programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...
. Current BCLS (AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience...
. Current BCLS certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria preferred. Employment Status...
. At least one year experience in case management, discharge planning or nursing management, preferred. Knowledge of Milliman Criteria...
Required Required Experience using InterQual or Milliman Required Licenses and Certifications Licensure or eligible for licensure, in the state...
limitations. The ability to apply Interqual/ Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines...
, and effective appeals for denied claims. Utilize clinical criteria such as MCG (Milliman Care Guidelines) and InterQual to support...
, i.e. Interqual, Milliman Care Guidelines. Maintain the highest level of customer service while completing day to day duties...
License Experience: 1-3 years of experience in Case Review, Utilization, Billing, and coding review;InterQual and Milliman...