Arizona Licensed Clinical Policy Manager
Company: VirtualVocations
Location: Renton
Posted on: April 1, 2025
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Job Description:
A company is looking for a Manager, Clinical Policy HCS
(Remote).
Key Responsibilities
Oversee clinical policy for the Medicare population, ensuring
compliance with CMS regulations
Identify policy gaps and implement solutions while monitoring
compliance outcomes
Facilitate Medicare UM Committee meetings and collaborate with
internal teams for external audits
Required Qualifications
Registered Nurse or equivalent combination of LVN/LPN experience or
a Bachelor's/Master's Degree in a related field
5+ years of healthcare experience, including 3+ years in
utilization management or related areas
Minimum 2 years of experience with CMS rules and regulations
Proficiency in Microsoft Excel
Active, unrestricted, and in good standing license if
applicable
Keywords: VirtualVocations, Renton , Arizona Licensed Clinical Policy Manager, Healthcare , Renton, Washington
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