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Medical Management Coordinator RN at DOCTORS HEALTHCARE PLANS, INC.
DOCTORS HEALTHCARE PLANS, INC. - Coral Gables, FL
Position Is Not Remote Position Purposes: Evaluates and approves requested services using organizational policies or MCG® screening criteria. Responsibilities: + Manages appropriate cases that require medical necessity review such as home care, elective inpatient and outpatient service requests. + Reviews cases referred by the prior-authorization non-clinical med...
