Care Guidelines and Review Criteria

The VMC Care Management Committee of the Board has approved the use of Milliman USA care guidelines for inpatient concurrent utilization review and for procedures requiring pre-certification.  Hayes is used for evaluation of the new technology and Apollo Managed Care Guidelines are used as a supplemental reference.

 The criteria used to make individual utilization management decisions is available to providers and members upon request.

Damian Albano, R.N., CCM
     Call 802-847-9626 

Amy Bannister, R.N., CCM  
     Call 802-847-6255 

Kitty Emerson, R.N., CCM 
     Call 802-847-1358 

Kellie Halsted, R.N., CCM
Call  (802)-847-9619

Jeanette Iverson, R.N., CCM 
     Call 802-847-0606

Darlene Morgan, R.N., CCM 
     Call 802-847-6259

Carol Palmer, R.N., CCM 
     Call 802-847-8271 

Geraldine Smith, R.N. , CCM 
     Call 802-847-8062

Barbara Wright, R.N.
     Call 802-847-1216


  

RN On-Call 24/7 

  VMC offers nurse reviewer availability 24 hours a day, 7 days a
week.  Please dial 802-363-0974 to reach the on-call nurse
during non-business hours (before 8:00am or after 4:30pm)
or on weekends or holidays.