Clinical Assessment Manager

and federal regulatory standards and VNS Health Plans policies and procedures. Identifies opportunities for alternative care... receives services outside of VNS Health Plans network services. Keeps current with all health plan changes and updates through...

Lugar: Nueva York, NY | 15/01/2026 01:01:42 AM | Salario: S/. $85000 per year

Clinical Evaluation Manager, Utilization Management, MLTC

not meet medical necessity criteria. Ensures compliance with state and federal regulatory standards and VNS Health policies... in approval for out-of-network services when member receives services outside of VNS Health network services. Provides case...

Lugar: Nueva York, NY | 13/01/2026 23:01:26 PM | Salario: S/. $85000 per year
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