Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers Expertise in physician/facility/ancillary contract reimbursement methodologies Lead cross functional teams and drive the team to successfully complete the objectives Engage with local provider organizations to support, augm

Documents all patient interactions in a concise manner that is compliant with documentation requirements for Model of Care, NCQA and Center for Medicare and Medicaid Services (CMS) regulations. Receives and responds to incoming Care Coordination inquiries from all communication venues e.g. phone queue, TruCare, portal, claim queue, department e mail box or Rightfax. Coord

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

Greets patients as they arrive and manage appropriate standard wait times Complete check in and check out tasks to include insurance verification, complete preauthorization's and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Manages cashier box and daily deposits according to company

A partner of the Optum Care network, WellMed Medical Group, is seeking a float nurse practitioner or float physician assistant to practice in several clinics in a geographic area as part of a collaborative team. 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 directl

Responsibilities of the home health aide are outlined in the plan of care, including but not limited to Baths Oral Hygiene Shampoos Changing bed linen Assisting patients with dressing and undressing Skin care to prevent breakdown Assisting the patient with toileting activities Taking and recording oral, rectal and axillary temperatures, pulse respiration and blood pressur

Works with the providers and clinic staff to identify patients at high risk telephonically primarily Supports longitudinal care of the patient with chronic care conditions by performing assessment of health conditions performing medication reconciliation conducting Motivational Interviewing and Self Management Goal setting providing patient education, creating referrals t

Engage patient, family, and caregivers telephonically to assure that a well coordinated action plan is established and continually assess health status Provide member education to assist with self management goals; disease management or acute condition and provide indicated contingency plan Identify patient needs, close health care gaps, develop action plan and prioritize

Assist physicians and nursing personnel with injections, EKGs, phlebotomy and other patient care procedures Maintain established quality control standards Record and process patient care documentation quickly and accurately Coordinate patient care as directed by physicians, company standards and policies Organize, stock and clean exam and treatment rooms and sterilize ins

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

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

P erf o r ms a ll nu r si n g duti e s w ithin the s c ope of a L i c e ns e d V o ca tion a l/P r a c ti ca l N u r se ( procedures, inj ec tions, m e di ca tion a dminist ra tion, EKG s, phl e boto m y ) a s d e t er min e d b y the a ppli ca ble St a te B o ar d o f N u r sin g P ar ti c ip a t e s in impl e m e nting e st a blish e d e du ca tion pl a ns f or p a ti e

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 identif

Engage patient, family, and caregivers telephonically to assure that a well coordinated action plan is established and continually assess health status Provide member education to assist with self management goals; disease management or acute condition and provide indicated contingency plan Identify patient needs, close health care gaps, develop action plan and prioritize

Works with the providers and clinic staff to identify patients at high risk through transitions of care. This is to support the market initiative of reducing utilizations, including ER visits, hospital admissions, and hospital readmissions Supports longitudinal care of the patient with chronic care conditions by performing assessment of health conditions initiating medica