, appropriateness of care and level of care. Use Milliman and InterQual guidelines as necessary. Begins discharge planning and care...
or related field preferred. Current BCLS (AHA) certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria...
. Current BCLS (AHA) certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-WM1...
preferred. 2. Current BCLS (AHA) certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria preferred....
or discharge planner interacting with managed care payers. Experience with InterQual or Milliman Guidelines. Essential...
in Milliman Care Guidelines (MCG) or InterQual criteria for medical necessity, setting and level of care, and concurrent patient...
. Current BCLS (AHA) certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria preferred....
MCG-IRR testing (Milliman Care Guidelines-Inter Rator Reliability) that is administered to clinical and medical director...
coverage and benefits Utilization Management experience, including experience working with InterQual Criteria and/or Milliman...
per day/consults per day: 15-20, Varies based on need EMR: Meditech Do you require InterQual criteria or Milliman experience...