-Current Version (CPT) coding;and McKesson (InterQual) and/or Milliman Care Guidelines. Life Support Certifications...
, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic...
planning or nursing management, preferred. 4. Current BLS certificate, preferred. 5. Knowledge of Milliman Criteria...
(s) utilizing InterQual (IQ), Milliman Care Guidelines (MCG), or in accordance with CMS rules and regulations for medical necessity... and clinical data. Responsible for yearly re-education on industry standard criteria, i.e., InterQual/Milliman Care Guidelines...
(AHA) certificate upon hire and maintain current. Knowledge of Milliman Criteria and InterQual Criteria preferred...
of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer skills...
but not required. Experience: Five years of related experience required. Knowledge of InterQual, Milliman, MCG, and similar guidelines...
years of experience in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred Licenses...
with InterQual or Milliman Guidelines. Essential Functions Census and rounds Reviews every patient under assigned workload...
and strong typing skills required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG...