Case Manager, RN – Licensed in All 50 States

🕒 April 21

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MedWatch, LLC

WebsiteLinkedInAll Job Openings

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.

📋 Description

• Manage an individual caseload 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 • Assess problems and determine goals and actions designed to meet the needs of the patient • Document into the case notes • Make contact with the payer office • Proceed with contacting medical care providers and with equipment vendors • Make care arrangements for quality patient care • Collaborate with the Case Management Assistant • Maintain responsibility for the Case Management file • Prepare timely reports to the payer

🎯 Requirements

• Registered Nurse (current active and unrestricted, in state of current practice and residence, within the United States or its territories.) • Being licensed in ALL 50 States (including non compact states) • R.N., a bachelor’s degree in a health-related field preferred • 7 years of varied clinical experience preferred • URAC-recognized certification in Case Management within 3 years of hire

🏖️ Benefits

• 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