Medical Reviewer

• 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.

QHCP Clinical Reviewer – NP, PA, CNM

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Medical Reviewer II

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