Scope. The Medical Review Coordinator will perform her/his duties in accordance with MedWatch procedures, MedWatch review standards, URAC standards and state certification requirements. License Requirements. Licensed Practical Nurse (current unrestricted, in state of practice). Education. 2-year degree, L.P.N. Experience. 3 years clinical nursing experience. Responsibilities. Review medical data obtained by mail or fax and enter into the clinical...
Scope. The Disease Manager Assistant assists the RN Disease Manager in performing necessary functions using the Disease Management process in order to meet the needs of 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, and ongoing communication with all members of the health care team. The Disease Manager Assistant performs al...