QUALIFICATIONS: Certification in Case or Care Management;experience using InterQual or Milliman;Master's degree preferred...
: Certification in Case or Care Management;experience using InterQual or Milliman;Master's degree preferred. Business Unit : Name...
: Certification in Case or Care Management;experience using InterQual or Milliman;Master?s degree preferred. Business Unit : Name...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills...
to interpret patient medical records Knowledge of medical necessity screening criteria (e.g., Milliman, InterQual) Proficient...
and continued stay for medical necessity, appropriateness of care and level of care. Use Milliman and Interqual guidelines...
Social Worker (LSW). 2. Current BCLS certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria...
behavioral health admissions, concurrent stays, and discharge planning. · Apply clinical criteria (e.g., InterQual, Milliman... review tools (InterQual, Milliman). · Strong understanding of behavioral health diagnoses, treatment modalities...
: Clinical screening criteria, such as InterQual and Milliman Care Guidelines (MCG) Medicare’s Prospective Payment System...: Clinical screening criteria, such as InterQual and Milliman Care Guidelines (MCG) Medicare’s Prospective Payment System...