Medical Director - Las Vegas, NV

Only for registered members Las Vegas, NV, United States

1 month ago

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Job summary

The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services.

Responsibilities

  • Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations.
  • Document clinical review findings, actions and outcomes in accordance with policies, and regulatory and accreditation requirements.

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