utilization review using Milliman Guidelines to support appropriate care decisions Collaborate with multidisciplinary teams... Knowledge & Skills Strong knowledge of case management and utilization review processes Familiarity with Milliman Guidelines...
, document, and follow individualized plans of care using Epic and Milliman guidelines Serve as the liaison between patients... and ordering DME Using Milliman guidelines for utilization decisions Proficient Epic charting and electronic documentation...
criteria sets and clinical pathways, such as MCG (Milliman Care Guidelines) or InterQual. (Preferred) Familiarity...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic...
(AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
(AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
- Clinical experience in hospital or medical office/clinic setting. Experience with Milliman criteria. Preferred...
, conflict resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines...
management, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria...