Implements and leads all aspects of Caregiver SOS in an assigned geographic area, including oversight of assistants and volunteer staff Develops an annual business plan with measurable objectives, and targeted activities to achieve those objectives Builds relationships and collaborates with key leaders, professionals, organizations and other stakeholders that serve caregi

Implements and leads all aspects of Caregiver SOS in an assigned geographic area, including oversight of assistants and volunteer staff Develops an annual business plan with measurable objectives, and targeted activities to achieve those objectives Builds relationships and collaborates with key leaders, professionals, organizations and other stakeholders that serve caregi

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

Provides consistent professional nail care to include trimming and buffing of toenails Organizes exam and treatment rooms, replenishes stock levels, cleans rooms and sterilizes medical instruments Keeps inventory of supplies and places replenishment orders as needed Returns any and all patient messages in a timely manner Attends, participates in and supports training and

Supports case management operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating) Oversees care management functions and ensure compliance with application of criteria from approved standardized guidelines, government mandated regulations and contractual agreements, to include NCAQ, URAC, and CMS Engages in Care

Assisting in the review of medical records to highlight Star/HEDIS opportunities for the medical staff. Review medical records for data collection, data entry, and quality monitoring including health plan/WellMed form submission and chart collection activities that close gaps in care. Partner with the leadership team, the practice administrative or clinical staff to ident

Provides direction and leadership to designated Agency personnel in an effort to ensure quality and continuity of services through competent personnel management skills Ensures that all supervised health care staff maintains compliance of federal and state rules and regulations and to agency clinical policies, procedures, and appropriate standards of care Ensures that a c

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

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 meani

Develop market business plans to motivate providers to engage in improving Stars measures to be 4 STARS or higher Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups Be the primary go to person for all STARS related activities within their assigned market(s) working within a matrix relationship which in

Independently collaborates effectively with Interdisciplinary care team (ICT) to establish an individualized transition plan for members Independently serves as the clinical liaison with hospital, clinical and administrative staff as well as performs a review for clinical authorizations for inpatient care utilizing evidenced based criteria within our documentation system

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

Completes assigned daily cases by processing prior authorization and medical necessity requests for specialty CMS part B medications and meet production, performance metrics as determined by the department in order to comply with CMS Part B turnaround times (TAT) Review specialty medication prior authorization requests (i.e. biopharmaceuticals) according to established tr

Performs all nursing duties within the scope of a Licensed Vocational / Practical Nurse (procedures, injections, medication administration, EKGs, phlebotomy) as determined by the applicable State Board of Nursing Participates in implementing established education plans for patients and their families with common health problems and well defined health learning needs Coord

The Physical Therapist Assistant (PTA) contracted or employed through the Organization is responsible for implementation of standards of care for physical therapy services and for adherence to all conditions outlined in the Personnel Services Agreement. The PTA, under the supervision of a physical therapist (PT), administers medically prescribed physical therapy for patie