Job Type: Contract

Location: Allegheny, Allegheny County

Prime HCS is seeking an experienced RN for a long-term, fully remote Care Management Coordinator contract. In this role, you will review medical records and clinical information to determine medical necessity and appropriateness of services using established clinical guidelines, including InterQual. You will also support discharge planning, communicate with providers as needed, authorize medically appropriate services, and refer cases requiring additional review to the Medical Director. Qualifi…

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