The NP or PA is expected to be able to provide care consistent with their licensure and/or certification Diagnoses and treats both acute and chronic conditions such as diabetes, hypertension, kidney disease and other chronic medical conditions. The NP or PA will also treat acute conditions such as minor injuries and other acute medical conditions such as infections or exa

Analyze and provide interpretation of newly enacted laws and guidelines that include, as appropriate, relevant legislative history, comparisons to existing or proposed legislation in other jurisdictions and detailed descriptions of the operational requirements and affected departments Supports and coordinates with business partners with articulating responses to proposed

improving the quality, cost and experience of health care. With the resources of a global health organization Optum behind us, we're at the forefront of value based care. Supported by a patient centric business model integrated care teams focus on the best patient care, rather than volume. Here, you'll contribute to an exceptional patient experience. Discover a place wher

Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits) Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issu

Accessing electronic medical records in various applications Review documents for completion and assign to corresponding Physicians Review documents for accuracy of dates and locations Correction of any errors found within the medical records Assembling of medical records Answering phone and making outbound calls as needed Perform a variety of diverse office / clerical du

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 an

Obtains lockbox receipts for prior day bank deposit Post cash to appropriate receivable in i5 Balance cash posted to cash deposited daily Month end reconciliation of cash posted to cash deposited Research any unapplied cash to determine appropriate disposition Locate zero $ EOB on payers' websites and post denials/payments in i5 Key and balance offset EOB from payers Key

Conducts daily vehicle inspections for safety and proper equipment Picks up and transports plan members, staff members and electronic devices to and from members' homes and various medical facilities Completes patient run reports daily May need to diffuse emotional situations with members Safe loading and unloading of members, guests, medical devices and baggage with stri

Manage administrative intake of members Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review

Communicates with all consumers of the mental health center regarding the medication services Genoa provides Recruits and enrolls consumers utilizing enrollment forms and copy the consumer's insurance card Facilitates the collection of prescriptions to be faxed to the pharmacy for dispensing Ensures all consumer insurance information is up to date in the Pharmacy system a

Sell into large self insured employers (~3,000+ employees) using a consultative sales approach Clearly articulate complex information in a simple concise way to a wide range of audiences, from C suite executives to benefits managers, brokers and consultants Drive the sales process from opening the door to close of the sale and maintain the relationship with the account pa

Focus on initial inpatient admission for psychiatric and chemical dependency patients Make patient assessments and determining appropriate levels of care Obtain information from providers on outpatient requests for treatment Determine if additional clinical treatment sessions are needed Manage inpatient and outpatient mental health cases throughout the entire treatment pl

Research and resolve written complaints submitted by consumers and physicians/providers Ensure complaint has been categorized correctly Obtain additional documentation required for case review Review case to determine if review by clinician is required Render decision for non clinical complaints using sound, fact based decision making Complete necessary documentation of f

Lead Full Stack engineering development teams Lead technical discussions on Tech stack of Angular10 or above, Typescript, Java, Spring boot microservices, Elastic Search, Kafka & any SQL/NoSQL Solid web development skills including HTML5, CSS, Bootstrap, JavaScript frameworks like ReactJS and Angular Good understanding of Spring framework including, spring core, spring cl

As a part of OptumCare, the largest network of medical groups in the nation, MedExpress is seeking a Full Time Urgent Care Physician to join our team in Princeton, WV . At Optum, we are transforming healthcare nationally while providing Physician led care locally. Position Highlights Open 8am 8pm, 7 days per week Providers typically work 12 hour shifts Average patient loa