-based criteria such as InterQual or Milliman Care Guidelines (MCG) to evaluate admissions, continued stays, and discharge...
At least one-year experience in case management, discharge planning or management Current BLS (AHA) certificate Knowledge of Milliman...
preferred. Experience in Milliman and Interqual preferred. Leadership experience, knowledge of legal aspects of coding... experience preferred. Experience using healthcare web based applications, Milliman, Interqual, etc. , preferred. Basic...
Current BLS (AHA) certificate Knowledge of Milliman Criteria and InterQual Criteria Full benefits at Prime Healthcare...
-based criteria such as InterQual or Milliman Care Guidelines (MCG) to evaluate admissions, continued stays, and discharge...
in Benefit Point. Capable of Gathering and Analyzing ICAF, Milliman, Aggregate and DMW reports. Initiate own correspondence...
within established protocols Completes Utilization Management for assigned patients. Applies Milliman Care Guidelines (Indicia...
preferred. Experience in Milliman and Interqual preferred. Leadership experience, knowledge of legal aspects of coding... experience preferred. Experience using healthcare web based applications, Milliman, Interqual, etc. , preferred. * Basic...
medical necessity screening tools such as Milliman Care Guidelines (MCG) are utilized. Ensures initial and continued stay... appropriate medical necessity screening tools such as Milliman Care Guidelines (MCG) are utilized. Ensures clinical reviews...
Familiarity with CPT coding and ICD-10 terminology Knowledge of InterQual or Milliman Care Guidelines preferred Bilingual...