Manages and is accountable for professional employees and / or supervisors. Impact of work is most often at the local level. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required

Assists in development and maintaining an efficient UM program to meet the needs of the health plan members and commensurate with company values Educates primary care physicians regarding systems, structures, processes and outcomes necessary for assurance of regulatory compliance related to market activities Develops strategies for improving all aspects of market performa

Assists in development and maintaining an efficient UM program to meet the needs of the health plan members and commensurate with company values Educates primary care physicians regarding systems, structures, processes and outcomes necessary for assurance of regulatory compliance related to market activities Develops strategies for improving all aspects of market performa

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

Reading and interpreting provider contracts, or other pricing artifacts, to complete provider configuration design templates Loading provider contracts into Facets (using Facets or NetworX capabilities) Extracting and analyzing pricing data to help assess load accuracy and to resolve provider pricing inquiries and/or pended claims Complete quality control measures to ensu

Works with the PCP and clinic staff to identify patients with high risk diagnoses such as CHF, IHD, COPD/asthma and diabetes and ensures clinical guidelines are being followed Contacts and performs initial interviews with patients who are in need of health coaching programs Conducts Chronic Care Model visits and reviews the patient's informal and formal support systems, f

Overall cleanliness of the assigned area Cleaning and maintaining all exercise equipment in the health center i.e., weight and cardio machines Assist with set up and clean up for health center and building events and activities Ensure that supplies and equipment are maintained at appropriate inventory levels You'll be rewarded and recognized for your performance in an env

As an Advanced Practice Provider, you will Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system Document timely with an

This is a remote position you may sit anywhere in the US 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 cul

Provides direct patient care as defined in the state Nurse Practice Act and agency's policies Implements plan of care initiated by the Registered Nurse Provides accurate and timely documentation consistent with the plan of care Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care Participates in the coordinat

Creates and executes Project plans and revises appropriately to meet changing requirements and needs. Plans and schedules Project timelines and milestones using the appropriate tools. Manages day to day operational and tactical activities of a Project. Develops and delivers Progress Reports, Proposals, Requirements Documentation and Presentations. Diagnoses task/procedura

Creates and executes Project plans and revises appropriately to meet changing requirements and needs. Plans and schedules Project timelines and milestones using the appropriate tools. Manages day to day operational and tactical activities of a Project. Develops and delivers Progress Reports, Proposals, Requirements Documentation and Presentations. Diagnoses task/procedura

Educate Providers to ensure they have the tools they need to meet Quality, Risk adjustment, growth (as appropriate) and Total Medical Cost goals per business development plans Ensures Providers have in depth understanding of WellMed Model of Care to include, but not limited to, contractual obligations, program incentives and patient care best practices Conduct detailed an

Performs all duties within the scope of a Medical Assistant's practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capil

Work to improve quality and promote evidence based medicine Provide information on quality and efficiency to doctors, patients and customers to inform care choices and drive improvement Support initiatives that enhance quality throughout our national network Ensure the right service is provided at the right time for each member Work with medical director teams focusing on