Contributes to and supports the corporation's quality initiatives by planning, communicating and encouraging team and individual. Maintains a solid focus on quality and continuous improvement within job scope Maintains an active nursing appointment schedule for assisting the Provider in the monitoring of members' health care needs. Assists the Care Manager and Provider in

The Supportive Care PSR is responsible for scheduling all new patient evaluations, follow up appointments, answering phones and mapping routes for home visits. Schedule Monday to Friday 8 00am to 5 00pm Primary Responsibilities Schedules all new patient evaluations for Palliative Care. Schedules all follow up appointments for Palliative Care Physicians, RN's and LVN's Res

Review comprehensive diagnostic evaluations to ensure valid diagnosis has been given Obtain clinical information from providers on Applied Behavior Analysis requests for treatment Determine if additional clinical treatment sessions for Applied Behavior Analysis are medically necessary in accordance with appropriate level of care guidelines Manage outpatient cases througho

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 integrated care model that holistically addresses an individual's physical, mental and social needs helping patients access and navigate care anytime and anywhere. As a team member of our naviHeal

Prepare examination rooms Room patients, obtain health history, check vital signs and perform EKG's Collect specimens, perform venipuncture Document patient care using electronic medical record software Schedule appointments, complete prior authorizations, process medication refills, handle referrals, answer calls and complete paperwork as needed Assist physicians, nurse

Stratifies and /or validates patient level of risk and manages patients across the continuum of care inclusive of care coordination, case management and complex case management Collaborates effectively with physicians, patients/caregivers and families to formulate a patient centric plan of care that meets the medical, psychosocial and financial goals of the patient inclus

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

Independently collaborates effectively with ED and outpatient care teams to establish an individualized transition plan for members Independently serves as the clinical liaison with hospital, clinical and administrative staff and performs transition of care/care coordination for ED discharges using evidenced based criteria within the documentation system Performs expedite

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

Provide clinical support and mentorship to DOPs in their execution of roles and responsibilities, auditing performance for appropriate clinical documentation; policy & procedure compliance; response to audits/inspections; and management of unexpected branch issues/quality related/adverse events Supports DOP oversight of clean room suite (CRS) function, including facility

Supervision of inpatient Hospital bill coding, responsible for DRG and ICD 10 PCS procedure code assignment Ensures functions performed in accordance with system wide policies, procedures, and governing organizations Defines individual and team goals Monitors staff and department performance and productivity levels and proposes ways to improve effectiveness, efficiency, a

Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each internal and external customer Perform all functions of the UM nurse reviewer Composes denial letter in a manner consistent with federal regulations, state regulations, health plan requirements and NCQA sta

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

As Senior Product Manager, Employer Benefits Product Management, Optum Consumer Payments, you will play a pivotal role in shaping and executing our reporting and analytic strategy, ensuring that our Employer Benefits clients have access to industry leading tools to administer and evaluate the performance of their Health Benefit Accounts. You will be driving the developmen

Greets visitors and patients in person. Communicates by telephone or video conferencing, upholding excellent customer service. Handles confidential information appropriately by protecting and disclosing information to only those authorized. Understands and follows all Switchboard departmental processes implemented. Prioritizes by assessing and analyzing information to ide