(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...
field preferred. Current BCLS certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred...
or Milliman preferred. Master's degree preferred. Business Unit : Company Name: Piedmont Athens Regional Hospital...
., CMS, Milliman Care Guidelines, InterQual, or health plan specific guidelines/criteria). Examine and evaluate patient...
in the medical record according to policy guidelines. Utilizes MCG- Milliman criteria to identify severity of illness...
Utilization Management for assigned patients. Applies Milliman Care Guidelines (Indicia) criteria to monitor appropriateness...
such as CMS-HCC, HHS-HCC, 3M, Milliman, etc. Deep understanding of CMS guidelines, compliance requirements, and audit processes...
. Demonstrates awareness of nursing skills, Milliman Clinical Review criteria, NYS LOCADTR, and CMS guidelines and regulations...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...