MedWatch

Medical Review Specialist/RN

MedWatch · Full Time · 6 hours ago

MedWatch

🌎 United States 💵 $64000 - $68000 per year ⭐ 5-10 yrs exp 💼 Healthcare

The Medical Review Specialist conducts utilization reviews to confirm the medical necessity of hospital admissions and outpatient procedures. They coordinate with providers and physician advisors to certify treatments and maintain accurate program data in compliance with URAC and federal guidelines.

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Concierge Customer Service Representative II

MedWatch · Full Time · 6 hours ago

MedWatch

🌎 United States 💵 $19 - $20 per hour ⭐ 2-5 yrs exp 💼 Support

Respond to member and provider inquiries regarding health benefits and precertification via phone and email. Negotiate with out-of-network providers and document all interactions in the system call log.

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Concierge Customer Service Representative II

MedWatch · Full Time · 13 days ago

MedWatch

🌎 United States ⭐ 2-5 yrs exp 💼 Support

Respond to member and provider inquiries regarding health benefits and precertification via phone and email. Negotiate with out-of-network providers and document all interactions in the system call log.

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Bilingual Case Manager Assistant / LVN

MedWatch · Full Time · a month ago

MedWatch

🌎 United States 💵 $23 - $27 per hour ⭐ 5-10 yrs exp 💼 Healthcare

Assists the RN Case Manager in coordinating patient care, reviewing treatment plans for medical necessity, and communicating with healthcare providers and payers. Manages case documentation, coordinates community resources, and ensures patient needs are met across the continuum of care.

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Case Manager / RN (licensed in all 50 states)

MedWatch · Full Time · 2 months ago

MedWatch

🌎 United States 💵 $72000 - $81000 per year ⭐ 5-10 yrs exp 💼 Healthcare

The Case Manager manages an individual caseload by reviewing treatment plans for medical necessity and coordinating care across the healthcare team. They are responsible for assessing patient needs, documenting case actions, and negotiating with providers to maximize medical benefits.

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Case Manager / RN

MedWatch · Full Time · 5 months ago

MedWatch

🌎 United States 💵 $72000 - $81000 per year ⭐ 5-10 yrs exp 💼 Healthcare

The Registered Nurse Case Manager will manage an individual caseload, reviewing medical data and establishing case management plans. Responsibilities include assessing patient needs, coordinating care, and maintaining communication with healthcare providers and payers.

assistant medical communication

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Case Manager Assistant / LPN

MedWatch · Full Time · 5 months ago

MedWatch

🌎 United States 💵 $23 - $27 per hour ⭐ 5-10 yrs exp 💼 Healthcare

The Case Manager Assistant will assist the RN Case Manager in case management functions, including reviewing medical data and making care arrangements. They will also maintain communication with healthcare providers and document case actions in the computer system.

assistant medical communication training

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