Population Specific Care a.) Neonate b.) Infancy > 30 days to 1yr c.) Toddlers > 1yr to 3yrs d.) Pre Schoolers > 3yrs to 5yrs e.) School age > 5yrs to 13yrs f.) Adolescent > 13yrs to 18yrs g.) Adult > 18yrs to 65yrs Collaborates with team members to promote excellence in patient care Completes all mandatory organizational and departmental requirements in a timely manner D

Here at Optum, part of the largest network of medical groups in the nation, we are seeking a dedicated and patient centric Dermatology Physician to join our growing team the greater Belleville, NJ care region (i.e., previously a Riverside Medical Group practice). Optum, part of United Health Group, is a Fortune 5, value based care delivery network of organizations that is

Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits on cases and complete audit of medical records received to ensure proper editing is applied Review medical charts electronically Abstract and code diagnosis and procedures from the medica

Screen and assess patients for common mental health and substance abuse disorders Provide treatment for a variety of mental health conditions using treatment approaches including cognitive behavioral therapy, dialectical behavioral therapy, and other evidence based methods Systematically track treatment response and monitor patients for changes in clinical symptoms and tr

Here at Optum, the largest network of medical groups in the nation, we are seeking a dedicated, patient centric General Neurologist to join our growing team in Mount Kisco, NY. 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 connec

Synthesize and forecast industry trends, customer needs, competitive threats, survey insights, member experience best practices and internal and competitive performance to design industry leading customer service and health plan improvement strategies Serve as a subject matter expert in CAHPS measure specifications, member pain points, survey strategy and business operati

Communicates with all consumers of the mental health center regarding the medication services Genoa provides Recruits and enrolls consumers utilizing enrollment forms and copy the consumer's insurance card Facilitates the collection of prescriptions to be faxed to the pharmacy for dispensing Ensures all consumer insurance information is up to date in the Pharmacy system a

improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well being as a team member. Join a team at the forefront of value based care and discover the meaning behind Caring. Connecting. Growing together. Position Details

Reviews medication orders and evaluates appropriateness and completeness of orders with consideration given to the special needs and behaviors of the specific age group served Verifies all prescriptions not directly received from the prescriber or physician's agent Provide oversight of the safety; appropriateness, and effectiveness of the pharmaceutical care provide to pa

Works with the providers and clinic staff to identify patients at high risk 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 to appropriate agencies an

Understand the Culture and Values of Southwest Medical and OptumCare Learn about Population Management and the way it is implemented at Southwest Medical Get to know Southwest Medical Providers and Staff Mentoring by Southwest Medical Physicians Opportunity to do elective rotation with Southwest Medical Attend Quarterly provider meetings and monthly department meetings wh

As a Primary Care Physician, you will provide full scope primary care services. Examine diagnose and treat patients for acute and chronic conditions or concerns injuries, infections, and illnesses Counsel and educate patients and families about acute and chronic conditions or concerns Complete timely and thorough documentation using our EMR system Formulate diagnostic and

Performs medication review for patients to identify medication related problems and optimization opportunities Collect relevant information from various sources to understand the history and clinical status of the patient Complete patient centered assessment, considering functional status, risk factors, cultural factors, treatment goals, and health literacy Assess medicat

Screens and identifies members with high risk, long term chronic conditions who will benefit from care management services. Monitors utilization as needed. Referrals for cases may originate from various sources Performs member evaluations and onsite visits as needed in multiple settings, including but not limited to telephonic, member's homes, PCP/Specialists clinic, hosp

Proficient in review of medical records and the ability to identify pertinent information on which to base appropriate clinical decisions. Document relevant chronology of case review and provide rational for determination Plan, prioritizes, organizes and completes work to meet established objectives. Excellent verbal and written communication skills with internal and exte