is required and is a HARD STOP. Units served include ICU, PCU, ED, Family Birth, Adult Medical. Nice to have Milliman Guidelines or InterQual...
with medical decision support tools (e.g., InterQual, Milliman Care Guidelines, NCCN). Exposure to government-sponsored managed...
, but not limited to InterQual, Milliman Care Guidelines (MCG), etc. Collaborates with the Attending of record and the Physician Advisor...
management skills. Minimum of two years of experience utilizing Milliman Care Guidelines to justify Inpatient versus Observation...
field preferred. Current BCLS certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred...
preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Pay Transparency: Saint Joseph Hospital...
for admission, observation, and level of care to comply with federal and state mandates. Uses Milliman and Medicare...
) certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. Pay Transparency St. Mary...
or management, preferred. 3. Current BCLS (AHA) certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria...
, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Pay is based on several factors including...