Know, understand, incorporate, and demonstrate the Optum360 and client Mission, Vision, and Values in behaviors, practices, and decisions Accommodate payer requests for clinical reviews and Medical Record and facilitate verbal discussion between the respective facility, physician groups and the payer, as required Demonstrate excellent customer service skills by facilitati

Interview patients in a hospital setting and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverage Complete applications for state and federal programs Review medical records and take all necessary actions to expedite benefit approval Adhere to company and legal standards regarding Protected Health Information (PHI), Personal

Conduct comprehensive assessments Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions Manage members during a short term sub acute rehabilitation episode Ensure accurate and complete documentation, including ICD 10 conditions Communicate and collaborate with the interdisciplinary care t

Excellent customer service skills Greet customers into the practice and provide instruction and/or direction as necessary both on the phone and in person Schedule and coordinate all patient appointments as directed Maintain an organized and clean work area, free of clutter Prepare all documentation and records with accuracy as directed or necessary for the patient's care

Schedules procedures appropriately. May interact with various scheduling tools Fills empty spaces on schedules as cancellations occur from patient waiting list Identify scheduling conflicts, notify appropriate people, and rearrange schedules to eliminate conflicts Calls patients from specialty referral list to arrange for preventive screenings when applicable Accurately t

Support RFP requests positioning security program to successfully win business Support customer and regulatory audits of the Information Security Program partnering with SISO, BISO, and key business partners Assist in enterprise and EIS risk management processes and execution Assist SISO and BISO with segment stakeholders to represent the Information Security capabilities

Schedules procedures appropriately. May interact with various scheduling tools Fills empty spaces on schedules as cancellations occur from patient waiting list Identify scheduling conflicts, notify appropriate people, and rearrange schedules to eliminate conflicts Calls patients from specialty referral list to arrange for preventive screenings when applicable Accurately t

Serve as single point of contact to the physician network and is an accountable owner, responsive to physician needs. Knowledgeable about incentive programs, contract reimbursement, Optum's internal processes and priorities, and other Optum initiatives, as applicable Monitors performance of assigned PCPs, identifies low performing PCPs and works with IPA leadership to dev

Supports key initiatives provides strategy input, gathers stakeholder input, tracks action items, and serves as a resource to others Consults with and advises internal partners to drive process development, management, and continuous improvement efforts in support of care management programs and ensure capabilities meet established short and long range goals Track key per

Demonstrates clinical competence in the direct care of patients in established area(s) of practice, and assisting MDs with procedures Performs clinical duties within scope of practice complying with the accepted CareMount Medical and/or individual department standards, policies, and protocols Demonstrates a proactive approach to patient care, focusing on addressing each p

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

Deliver remote care throughout an 8 week evidence based program Manage a caseload of a minimum of 10 participants in treatment Monitor participant progress, provide follow up communications and care coordination recommendations, and document session notes Participate as a member of the care team and assist participants as needed with accessing resources, as well as obtain

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

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

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