Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify, initiate, and follow up on referrals for community based programs and providers; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as

Adheres to standards of professionalism set by the Practice Always maintains professional appearance by adhering to dress code and wearing identification badge Demonstrates and maintains professionalism in behavior and courtesy toward the patients and staff Respects confidentiality and is HIPAA compliant in all aspects of communication regarding patient, Practice and staf

Assess, plan and implement care strategies that are individualized and directed toward the most appropriate level of care for Medicare and Medicaid members while proactively engaging the member to manage their own health and healthcare Utilize strong skill sets of managing multiple tasks at a time, being self motivated, driven toward quality results, managing time well, b

Manage and submit daily request for referrals/authorizations Maintains on going and consistent tracking of all referrals/authorizations Working with multiple phone lines throughout each day assisting patients Work with providers and staff to ensure completeness of documentation to facilitate the referral/authorization process. Assist physicians, as required in coordinatio

Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8 8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's really important . We provide a broad scope of

Suturing (some facial) Splinting Initial interpretation with digital X Rays Injections (MA may not be available) STD's Incisions and drainage Pediatric care What makes an OptumCare organization different? 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'

Provide clinical argument, using available Medical Records, to justify and dispute payer denials, all levels of appeals included Develop monthly case studies, identifying payer and hospital operational opportunities Compile reports as requesting by the ROS client and operations, specific to payers, operations and clinical reviews Participate in performance meetings as req

include but not limited to Suturing (some facial) Splinting Initial interpretation with digital X Rays Injections (MA may not be available) STD's Incisions and drainage Pediatric care What makes an OptumCare organization different? Providers are supported to practice at the peak of their license Patients are treated like family we focus on helping patients get in, get heal

Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8 8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's really important . We provide a broad scope of

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact

Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8 8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's really important . We provide a broad scope of

Ensures staff compliance with Agency standards, state and federal regulations through ongoing performance evaluation and management including, but not limited to, supervisor visits, case conferences, and 1 1 conferences. Serves as mentor and role model for staff by providing clinical and supervisory guidance and support Ensures patient care provided by team is coordinated

Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8 8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's really important . We provide a broad scope of

Consistently exhibit behavior and communication skills demonstrating Optum's commitment to superior customer service, including quality, care, and concern with every internal and external customer Closely monitor patient safety at all times, i.e., will not leave the patient on an exam table unattended and participate in the Optum fall prevention program Comply with Optum'

Utilizes clinical expertise and approved protocols to provide health advice to consumers with clinical questions and makes referrals for health services as appropriate via telephone Able to document calls in applicable system in a timely manner and exhibits a willingness to master new work routines and methods Documents all inquiries according to department standards for