planning or nursing management, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria...
documentation and criteria for admission, observation, and level of care to comply with federal and state mandates. Uses Milliman...
, preferred current BCLS (AHA) certificate, preferred knowledge of Milliman Criteria and InterQual Criteria, preferred #LI...
experience of Milliman’s analytics tools such as MedInsight Health Cost Guidelines (HCG) Grouper, Milliman Advanced Risk...
management, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria...
in the medical record according to policy guidelines. Utilizes MCG- Milliman criteria to identify severity of illness...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
to coordinate care plans efficiently. Working knowledge of Milliman criteria preferred. Physical Requirements: N: Never...
resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines and third...
:Thorough understanding of clinical processes and knowledge of billing, coding and Milliman Care Guideline (MCG) criteria. Three...