Seminole County, Florida, United States · Remote OK
$72k–$81k/yr
Scope: The Case Manager manages an individual caseload using the Case Management process to meet the needs of MedWatch, LLC customers and consumers. This includes, but is not limited to, authorization of services, review…
Skills: Case Management, Medical Necessity Review, Treatment Planning, Patient Assessment, URAC Standards
Lake Mary, Florida, United States · Remote OK
$23/hr–$25/hr
Scope: The Application Support Analyst will be responsible for analyzing, designing, implementing, and supporting business applications and systems. Must be able to elicit, analyze, communicate, and validate business/use…
Skills: Systems Development Life Cycle, Requirements Analysis, Functional Specifications, Customer Service, SQL Server
Lake Mary, Florida, United States · Remote OK
$72k–$75k/yr
Scope: The Case Manager manages an individual caseload using the Case Management process to meet the needs of MedWatch, LLC customers and consumers. This includes, but is not limited to, authorization of services, review…
Skills: Case Management, Medical Necessity Review, Authorization of Services, Treatment Planning, Problem Solving
Seminole County, Florida, United States · Remote OK
$19/hr–$20/hr
Scope: This is a critical senior level customer service position requiring excellent customer interaction skills along with critical thinking. This individual is expected to accurately service and satisfy customers by re…
Skills: Customer Relations, Interpersonal Skills, Microsoft Office, Data Entry, Provider Network Knowledge
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The Case Manager manages an individual caseload by authorizing services and reviewing treatment plans for medical necessity. They coordinate with providers, payers, and patients to establish and maintain comprehensive case management plans.
Candidates must be a Registered Nurse with an active, unrestricted license and a bachelor's degree in a health-related field preferred. Seven years of varied clinical experience is preferred along with proficiency in MS Office.
Population Health Management - The RIGHT CARE at the RIGHT TIME in the RIGHT PLACE at the RIGHT COST
Since 1988, MedWatch has been a leader in providing concierge member advocacy and medical cost containment solutions for TPAs, employer groups, school systems, municipalities, hospital systems, Taft-Hartley plans, and fully insured payers as well as for the reinsurance industry and stop loss carriers. MedWatch has maintained continuous URAC Accreditation for Health Utilization Management since 1997, Case Management since 2000, and Disease Management since 2007. These core services, along with all of our proven solutions, focus on appropriateness and quality of care, helping to achieve the best clinical and financial outcomes for plans and plan members. MedWatch’s programs fit together seamlessly to support members along the entire continuum of their health journey. Pathways Concierge, our white-glove service, provides members with a single point of contact to address questions about their health plan. It’s the starting point and finish line for successful member engagement and effective utilization of benefits. In addition to Pathways Concierge and our URAC Accredited core services, MedWatch offers over 30 advocacy and cost containment solutions including dialysis claims repricing, diabetic monitoring and intervention, high-cost infusion/oncology treatment savings, in and out of network savings for high-cost claims, and more. MedWatch is the Right Choice for providing the Right Care at the Right Time in the Right Place for the Right Cost. Learn how MedWatch’s proven solutions, innovative approach and clinical expertise make us the Right Partner for you: Visit urmedwatch.com.
Offices: 120 International Parkway Suite 216, Lake Mary, Florida 32746, US · 165 Rosman Hwy, Brevard, North Carolina 28712, US · Houston, Texas, US · Tampa, Florida, US
Population Health Management - The RIGHT CARE at the RIGHT TIME in the RIGHT PLACE at the RIGHT COST
Since 1988, MedWatch has been a leader in providing concierge member advocacy and medical cost containment solutions for TPAs, employer groups, school systems, municipalities, hospital systems, Taft-Hartley plans, and fully insured payers as well as for the reinsurance industry and stop loss carriers. MedWatch has maintained continuous URAC Accreditation for Health Utilization Management since 1997, Case Management since 2000, and Disease Management since 2007. These core services, along with all of our proven solutions, focus on appropriateness and quality of care, helping to achieve the best clinical and financial outcomes for plans and plan members. MedWatch’s programs fit together seamlessly to support members along the entire continuum of their health journey. Pathways Concierge, our white-glove service, provides members with a single point of contact to address questions about their health plan. It’s the starting point and finish line for successful member engagement and effective utilization of benefits. In addition to Pathways Concierge and our URAC Accredited core services, MedWatch offers over 30 advocacy and cost containment solutions including dialysis claims repricing, diabetic monitoring and intervention, high-cost infusion/oncology treatment savings, in and out of network savings for high-cost claims, and more. MedWatch is the Right Choice for providing the Right Care at the Right Time in the Right Place for the Right Cost. Learn how MedWatch’s proven solutions, innovative approach and clinical expertise make us the Right Partner for you: Visit urmedwatch.com.
Offices: 120 International Parkway Suite 216, Lake Mary, Florida 32746, US · 165 Rosman Hwy, Brevard, North Carolina 28712, US · Houston, Texas, US · Tampa, Florida, US
