and Abilities Preferred: Knowledge of milliman and/or interqual criteria, utilization review, discharge planning and case...
, InterQual, Milliman, etc. 6. Facilitates peer to peer reviews with payer/providers. 7. Actively participates in clinical case...
. Familiarity with AllScripts Care Management preferred. Proficiency with Milliman Care Guidelines or Interqual preferred. Bilingual...
experience Preferred Qualifications: Utilization review or case management experience Experience with Interqual or Milliman...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
department or system-wide patient flow Assesses patients’ clinical presentation against Milliman Care Guidelines (MCG...
of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case Management in order to facilitate: (1...
knowledge of nationally accepted criteria sets (Milliman and Interqual) for inpatient vs outpatient status. Attends complex...
the patient’s plan of care within 24 hours of admission and at least every 96 hours utilizing Milliman criteria...
with participation in compensation surveys, such as Milliman Puget Sound Regional Salary Survey, Milliman Northwest Management...