Knowledge of terminology CPT codes and ICD 10 Bilingual preferred Knowledge of InterQual or Milliman Care Guidelines preferred...
. Current BCLS certificate preferred. 3. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-SM6...
years of Clinical experience in hospital or medical office/clinic setting. Experience with Milliman criteria. Preferred...
of Milliman/InterQual criteria. General Skills: Essential computer skills....
in an acute or post-acute setting Required Experience using InterQual or Milliman Preferred Licenses and Certifications RN...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
is preferred. Current BLS certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-AM5...
and coordinate with vendors (e.g. Milliman) and the investment committee. Develop, maintain and update compensation structures...
. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-AM5 Employment Status: Per Diem Shift: Variable Equal...
): Conduct thorough clinical reviews using established guidelines (such as Milliman or InterQual) to manage commercial payer... Knowledge: Hands-on experience utilizing InterQual or Milliman Criteria for utilization review. Location and Work Type Work...