Assist providers in understanding the CMS HCC risk adjustment model as it relates to payment methodology and the importance of proper chart documentation and coding of procedures (e.g. Annual Care Visits or ACVs) and diagnoses Assist providers in understanding coding for the CMS Medicare Advantage Star Ratings quality program CPT II coding, the coding for Frailty and Adva

Greet patients Coordinate patient flow Assist patients with intake or admitting processes Collect co payments, co insurance and deductibles Scheduling patient appointments The pace is fast, so your ability to multi task is essential. You should also enjoy working with people and have the communication skills necessary to build strong relationships with our patients. You'l

include Suturing Splinting Initial interpretation with digital X Rays Incisions and drainage What m akes an O p t u m C a r e o r ga n i za t i on d i f f e r en t ? Providers are supported to practice at the peak of their license Patients are treated like family. We focus on helping patients get in, get healthy, and get back to what's really important We are influencing c

Complete provider orders per state and provider regulations Perform Clinical Intake with patients to include taking and recording vital signs and patient history Assist patients as needed with walking, transfer, specimen collection, exam preparation, etc. Complete occupational health testing including such services as urine drug screens, breath alcohol testing, hair testi

Management and manipulation of structured data, with a focus on building business intelligence tools, conducting analysis to distinguish patterns and recognize trends, performing normalization operations and assuring data quality Creating product specifications and models, developing data solutions to support analyses, performing analysis, interpreting results, developing

Oversee initial inpatient admission for psychiatric and chemical dependency patients Make patient assessments and determine appropriate levels of care Administer benefits, review treatment plans, and coordinate transitions between various areas of care Obtain information from providers on outpatient requests for treatment You'll find the pace fast and the challenges ongoi

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

Selects, manages, develops, mentors and supports staff in designated department or region Develops clear goals and objectives for performance management and effectively communicates expectations, and holds the team accountable for results In order to meet the unique needs of our members, have an intimate understanding of the contractual requirements Identify, select, stru

Oversee initial inpatient admission for psychiatric and chemical dependency patients Make patient assessments and determine appropriate levels of care Administer benefits, review treatment plans, and coordinate transitions between various areas of care Obtain information from providers on outpatient requests for treatment You'll find the pace fast and the challenges ongoi

Drives excellence in business, clinical, and financial operations of the center through managing workflows, budgets, scheduling, and other items as needed Acts as the catalyst to ensure staff are passionate about delivering genuine, caring, and friendly healthcare Maintains the culture of excellence by recruiting, developing, and retaining talent Champions the MedExpress

Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in person or on phone interaction Support members with condit

Assist management and clinicians to ensure clients' care is delivered in a timely manner and in compliance with state and federal regulations for home care through scheduling of patients at time of intake and throughout the certification period in compliance with physician orders Assist the management and clinicians to assure home care services including supervisory visit

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) The Senior Reporting Analyst's main focus wil

Greets patients as they arrive/Coordinates patient flow Assists patient with intake or admitting processes including copying required documents Collects co payments, co insurance and deductibles and issues receipts Collects, records and balances payments Processes walk in patients and visitors Answers phones and schedules appointments Manages medical records (maintains, f

Travel up to 100% Conduct in home assessments on health plan members Identify diagnoses to be used in care management and active medical management Formulate a list of current and past medical conditions using clinical knowledge, judgment and current findings Communicate gaps in care to member's PCP Identify referral needs Identify urgent and emergent situations for prope