California Licensed Acupuncture Manager

Job Summary

A company is looking for a Manager I - CQE Acupuncture to join their Clinical Quality Evaluation department.

Key Responsibilities

• Manage medical necessity review of acupuncture services
• Conduct timely and accurate reviews to verify medically necessary care for health plan members
• Collaborate with senior management on clinical programs and policy development

Required Qualifications

• Professional degree in Acupuncture from an accredited institution
• Current, unrestricted license to practice acupuncture in California
• Minimum of 5 years of clinical experience, preferably in medical necessity case review
• Understanding of acupuncture practice guidelines and managed services
• Advanced training or certification in related fields is a plus