• Utilization Management RN

    VNS Health (Manhattan, NY)
    …in development of plans to address improvement needs as appropriate. * For Utilization Management Only: * Issues Determinations, Notices of Action, and other ... communications required by state or federal regulations are saved in the Utilization Management System. * Reviews, evaluates and determines the appropriateness… more
    VNS Health (11/05/24)
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  • Manager, Grievance and Appeals, RN

    VNS Health (Manhattan, NY)
    …years' experience in a Grievance and Appeals or related area such as medical or utilization management in a Managed Care setting required + Experience in a ... Plans is seeking a dedicated Manager, Grievance and Appeals ( RN )to lead the daily operations of our grievance and...+ License and current registration to practice as a registered professional nurse in New York State… more
    VNS Health (09/04/24)
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