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Role Description

The Case Manager manages an individual caseload using the case management process in order to meet the needs of the MedWatch, LLC customers and consumers. This includes, but is not limited to:

• Authorization of services
• Review of treatment plans for medical necessity
• Standards of care
• Ongoing communication with all members of the health care team

This is a remote/work-from-home position.

Qualifications

• Registered Nurse (current active and unrestricted, in state of current practice and residence, within the United States or its territories)
• R.N., a bachelor’s degree in a health-related field preferred
• 7 years of varied clinical experience preferred

Requirements

• Being licensed in ALL 50 States including states not included with the compact license
• Practice within the scope of licensure
• Maintain case in computer system documenting case actions for each patient
• Complete all aspects of case in the computer
• Prepare timely reports to the payer to detail all case actions and the continuing case management plan
• Maintain billing as appropriate in computer system
• Negotiate with providers to maximize the medical benefits available to the patient
• Adhere to all company policies as stated in the employee handbook
• All case managers will possess a URAC-recognized certification in Case Management within 3 years of hire

Benefits

• This position is eligible for a bonus program
• The salary range for this position is from $72,000 to $81,000 annually

Work Environment / Physical Demands

This position is in a typical home office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment.

We are an Equal Opportunity Employer, including disability/veterans.