Babyscripts
Better Pregnancies for All
QHCP Clinical Reviewer – NP, PA, CNM
Location
Texas
Posted
139 days ago
Salary
Not specified
Professional Certificate3 yrs expEnglishSpanish
Job Description
• Monitor patient data trends (e.g., blood pressure, weight, symptoms) and identify high-risk cases requiring intervention.
• Perform clinical assessments via phone, telehealth, or messaging to provide education, intervention, and care plan adjustments.
• Provide direct patient education on managing hypertension, gestational diabetes, preeclampsia risks, postpartum recovery, and other maternal health concerns.
• Escalate high-risk cases to the appropriate provider per established protocols.
• Support care coordination by assisting patients with referrals, scheduling follow-ups, and connecting them to additional resources.
• Ensure compliance with RPM protocols by coaching patients on adherence and addressing barriers to engagement.
• Document all clinical interactions in Babyscripts' care management platform, ensuring accuracy and compliance with healthcare regulations.
Job Requirements
- Active, unrestricted NP, PA, or CNM license in the state of Texas (required).
- Minimum of 3–5 years of clinical experience in OB/GYN, women’s health, maternal-fetal medicine, or related fields.
- Prior experience with remote patient monitoring, telehealth, or population health preferred.
- Strong ability to synthesize data and communicate concise clinical insights.
- Comfort navigating EHRs, care management platforms, and digital tools.
- Exceptional written and verbal communication skills.
- Bilingual (Spanish) strongly preferred.
Benefits
- Fully remote; scheduling coordinated with the clinical operations lead based on coverage needs.
- Eligible for quality- and performance-based bonuses (documentation accuracy, turnaround time, engagement metrics).
- Note: Part-time employees are not eligible for full-time medical, dental, vision, or 401(k) benefits, but may be eligible for select company perks depending on hours worked and tenure.
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