RN Appeals Writer
using electronic medical records or acute hospital utilization review using InterQual or Milliman. Working knowledge...
using electronic medical records or acute hospital utilization review using InterQual or Milliman. Working knowledge...
Interqual or Milliman required High level of competency performing medical necessity reviews with accepted criteria required...
and knowledge in basic to intermediate computer skills. 1. Current BCLS certificate preferred. 2. Knowledge of Milliman Criteria...
of Milliman Care Guidelines, preferred. Experience working with the Medicare and Medicaid population segment, preferred...
and computer literacy to interpret and apply medical care criteria, such as InterQual or Milliman Ambulatory Care Guidelines...
At least one-year experience in case management, discharge planning or management Current BLS (AHA) certificate Knowledge of Milliman...
, appropriateness of care and level of care. Use Milliman and Interqual guidelines as necessary. Collaborates with clinical teams...
Current BLS (AHA) certificate Knowledge of Milliman Criteria and InterQual Criteria Full benefits at Prime Healthcare...
management. 2. Current Standards of Care & Criteria, working knowledge of Intequal and/or Milliman. 3. Ability to train...
experience, preferred. 5. Experience in psychiatric emergency and triage preferred. 6. Knowledge of Milliman Criteria...