
201 - 500 employees
Founded 1988
⚕️ Healthcare Insurance
🤝 B2B
Healthcare Insurance • B2B
MedWatch, LLC is a healthcare services company that provides utilization management, case management, disease management, member advocacy and concierge care coordination to payers, TPAs, and self‑insured employers. For over 35 years it has delivered clinically driven care management, precertification and claims solutions, direct contracting and ancillary services backed by URAC accreditations and proprietary in‑house technology to improve clinical outcomes and reduce plan and member costs.
🕒 5 days ago
🗣️🇪🇸 Spanish Required
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201 - 500 employees
Founded 1988
⚕️ Healthcare Insurance
🤝 B2B
Healthcare Insurance • B2B
MedWatch, LLC is a healthcare services company that provides utilization management, case management, disease management, member advocacy and concierge care coordination to payers, TPAs, and self‑insured employers. For over 35 years it has delivered clinically driven care management, precertification and claims solutions, direct contracting and ancillary services backed by URAC accreditations and proprietary in‑house technology to improve clinical outcomes and reduce plan and member costs.
• Assists the RN Case Manager in performing necessary functions using the Case Management process • Authorization of services • Review of treatment plans for medical necessity • Ongoing communication with all members of the health care team • Performs all functions under the direct management and supervision of the RN Case Manager • Communicates in both Spanish and English to service customers
• Licensed Practical Nursing Education preferred • Basic computer skills • Licensed Practical Nurse or Medical Assistant/Nursing Assistant Certification (current active and unrestricted, in current state of practice and residence, within the United States or its territories) • 5 years of varied clinical experience preferred, or three years in a specialty field. • Good organizational skills and time management • Excellent verbal and written communication skills • Ability to handle difficult situations tactfully and diplomatically • Effective problem solving and decision-making skills • Strong computer skills with proficiency in MS Office Suite products (Word, Excel, PowerPoint)
• paid time off • medical • dental • vision • short and long-term disability • life insurance • AD&D • 401k with match • critical illness coverage • legal plan • identity theft coverage • pet insurance • discount programs
Apply Now🕒 6 days ago
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