Case Manager Assistant, LPN – Bilingual

🕒 August 8

🇺🇸 United States – Remote

💵 $23 - $27 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

👻 Ghost score 45%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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MedWatch, LLC

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1988

💼 Consulting

📦 Logistics

🛡️ Insurance

Consulting • Logistics • Insurance

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

• Assist the RN Case Manager using the Case Management process to meet customer and consumer needs • Authorize services and review treatment plans for medical necessity and standards of care • Maintain ongoing communication with healthcare team members • Perform Case Management functions under the direct supervision of the RN Case Manager, excluding Initial Case Assessments and Formulation of the Initial Care Plan • Review medical data and update Case Management plans in contact with providers, payers, patients, and primary caregivers • Contact payer offices to understand benefit constraints affecting plans of action • Contact medical care providers and equipment vendors to verify medical necessity • Arrange quality patient care according to patient needs, physician orders, and available benefits • Identify alternative treatment possibilities and provide cost-benefit analyses when extra-contractual services may be appropriate • Identify community resources and funding sources • Document case actions and complete case records in the computer system • Prepare timely reports to payers detailing case actions, results, and continuing Case Management plans • Maintain billing in the computer system as appropriate • Maintain contact with providers and patients across the continuum of care • Keep chronic-condition cases open for periodic clinical-status and medical-needs contacts • Negotiate with providers to maximize available medical benefits • Make network referrals as appropriate • Address patient safety or welfare issues by directing patients or families to resources or authorities in consultation with the Case Manager • Consult regularly with the Case Manager and inform the Director of Case Management about complaints or issues beyond the assistant’s expertise • Adhere to company policies and participate in the Quality Management Program

🎯 Requirements

• Licensed Practical Nurse or Medical Assistant/Nursing Assistant Certification, current active and unrestricted, in the current state of practice and residence within the United States or its territories • Licensed Practical Nursing education preferred • Basic computer skills • Strong computer skills with proficiency in MS Office Suite products (Word, Excel, PowerPoint) • 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 • Fluent English and Spanish with strong reading and writing abilities in each language • 5 years of varied clinical experience preferred, or 3 years in a specialty field • Ability to work in the United States for any employer without sponsorship • Dedicated, quiet workspace in the home

🏖️ Benefits

• Paid time off • Medical insurance • Dental insurance • Vision insurance • Short-term disability • Long-term disability • Life insurance • AD&D insurance • 401(k) with match • Critical illness coverage • Legal plan • Identity theft coverage • Pet insurance • Discount programs • Bilingual Spanish pay differential

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