(Interqual, Milliman, etc) to assess medical necessity, appropriateness of admission, level of care, length of stay, need...
and command of iCAF capabilities and services and Milliman capabilities and services. Developing, maintaining and expanding...
outpatient or community environment, preferred. Recent working knowledge of Milliman Care Guidelines, preferred. Skills...
certification (CCS, CPC or CIC) preferred or willingness to obtain / maintain. 5+ years’ experience using InterQual or MCG/Milliman...
. Proficient in Allscripts EMR, Allscripts CM software program, Milliman Care Guidelines (MCG), IDX and 3M within 6 months...
field preferred. Current BCLS (AHA) certificate upon hire and maintain current. Knowledge of Milliman Criteria...
years of clinical experience in hospital or medical office/clinic setting. Experience with Milliman criteria. Preferred...
(AHA) certificate, preferred Knowledge of Milliman Criteria and InterQual Criteria preferred Experience and knowledge...
Required Experience using InterQual or Milliman Preferred Licenses and Certifications Current unrestricted registered nurse (RN...
(AHA) certificate, preferred Knowledge of Milliman Criteria and InterQual Criteria preferred Experience and knowledge...