Obtain accurate and updated patient information, such as name, address, insurance information Perform insurance verification on the date of service Obtain patient signatures for required documents File and maintain medical records Confirms and schedule appointments Answering incoming and outgoing telephone calls promptly and courteously, Perform referral documentation pro

Conduct comprehensive assessments Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions Manage members during a short term sub acute rehabilitation episode Ensure accurate and complete documentation, including ICD 10 conditions Communicate and collaborate with the interdisciplinary care t

Develop and coordinate a clinical treatment program for the diagnosis, treatment, or referral of patients presenting moderate to severe social or mental behavior problems Involves patient and/or family in treatment planning as appropriate Conducts individual, family or group therapy sessions based on ethical and medical necessity guidelines. Option to develop and provide

Primarily answering prior authorization with inbound calls (up to 50 to 70 calls per day) from members as well as research and resolve formulary and benefit issues using the appropriate reference material Process member prior authorization requests through various computer systems and use of job aid/policies/procedures ensuring the accuracy of all data and updating as nec

Provide patient care, clinical summary and direction on next steps or follow up Perform phlebotomy for patients as needed Act as a member of the care team, including preparing patients to be seen by collecting and recording clinical information as per protocol Manage patients according to approved protocols and consistent with appointment and scheduling guidelines Carry o

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

$40,000 Student Loan Repayment or $20,000 Sign on Bonus for individuals who have not previously participated in this program. Flexible provider schedules available between 20 40 hours per week! Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry leading solutions to build an in

for our Front Office Assistants include Assist in opening and closing the clinic, locking and unlocking the doors, and maintaining a clean waiting area Welcome all clinic patients and visitors by greeting them with a friendly demeanor, answering inquiries and directing them through the registration process Answer multi phone lines, complete daily patient callbacks, and fi

Project Management Lead small to medium size client projects intended to design and develop analytics that offer financial insights in the pharmacy domain. This includes charter development, planning, financials, issue and risk management, scheduling, and other logistics in quality delivery Operations Management Serve as the teams operations lead supporting sales pipeline

Help process provider applications and re applications including initial mailing, review and loading into the database tracking system Conduct audits and provide feedback to reduce errors and improve processes and performance Demonstrate great depth of knowledge/skills in own function and act as a technical resource to others Solve complex problems on own; proactively ide

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Setting annual budget and providing ongoing financial analysis of development and operational results against the budget Perform financial analysis to support the management of the business to include real estate, utilization of providers and provider hiring, and medical management cost, and other ad hoc analysis Perform full P&L financial modeling to support FP&A month e

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, c

Facilitate and support implementing clinical and business applications in health care setting Work closely with Operations, IT and vendors in to implement solutions Report deviations on project progress and timeline to stakeholders (business, technology, and others) Identify and mitigate risks to project progress Keep project execution statuses up to date in standard work

Provide administrative support in a manner consistent with the highest level of performance and professionalism while building effective relationships with other administrative assistants; operate as a team player and provide back up support as needed Maintain and update calendars; manage incoming scheduling requests, prioritize and communicate with all parties Coordinate