Act as a Subject Matter Expert for other team members Manage the intake of members or the admission / discharge information post notification. Work with hospitals, clinics, facilities, and the clinical team to manage requests for services. Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification, and

Assist in end to end provider claims and help enhance provider experience Assist in efforts to enhance ease of use of provider portal and future services enhancements Support development and management of provider networks within assigned regions Help implement training and development of external providers through education programs in collaboration with our training tea

Interview patients in a hospital setting and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverage Complete applications for state and federal programs (including Health Exchange/Marketplace programs) Review medical records and take all necessary actions to expedite benefit approval Adhere to company and legal standards regard

Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer Under direction and supervision of physician, administers medications, administers immunizations, EKGs, ear washes, and other patient services. Assists in simple office a

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. This position is within our Refresh Mental Health (RMH) organization, which provides a variety of behavioral and mental health treatments, in

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. This position is within our Refresh Mental Health (RMH) organization, which provides a variety of behavioral and mental health treatments, in

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. This position is within our Refresh Mental Health (RMH) organization, which provides a variety of behavioral and mental health treatments, in

This position is within our Refresh Mental Health (RMH) organization, which provides a variety of behavioral and mental health treatments, including individual and group therapy, medication management, and intensive outpatient programs At Comprehensive MedPsych Systems , our commitment to optimal mental health and steadfast support isn't just for our clients; it extends t

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 follow up management of post hospitalized or post emergency room visits Comprehensively screens patients for care opportunities and collaborates with treating physician and/or Registered Nurse to develop c

Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer Under direction and supervision of physician, administers medications, administers immunizations, EKGs, ear washes, and other patient services. Assists in simple office a

Available on provided telephonic platform, both taking and placing calls to coordinate care for members between facilities, hospitals, and Optum field colleagues Utilize EMR proficiently to provide acute care to members during overnight and weekend/ holiday hours Primary Care Delivery Deliver cost effective, quality care to members Manage both medical and behavioral, chro

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non patient facing roles, you can make a difference with us as you discover the meanin

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

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

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