adult patients. 6. Knowledge of InterQual or Milliman Care Guidelines preferred. Why Mercy? From day one, Mercy...
applying Milliman and/or Interqual guidelines required. Familiarity with medical coding, reimbursement, and insurance practices...
and potential discharge date. Utilizes other application tools to document including Veracity, Optum, InterQual, Milliman, etc. 6...
in a health plan setting. (Preferred) Prior use of clinical criteria sets and clinical pathways, such as MCG ( Milliman Care...