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Optum
- Irving, TX / Dallas, TX / Fort Worth, TX
Responsible for effective delivery of training programs across the organization. Keeps abreast of various training delivery techniques, business processes, products and systems. Assists in the designing, managing, implementing and evaluating of training programs to prepare high quality and highly competent staff for meaningful contributions in the workplace. This position
Posted 1 day ago
Optum
- Andalusia, AL / Geneva, AL / Elba, AL
$10,000 Sign-on Bonus for External Candidates
Posted 1 day ago
Optum
- Opelika, AL / Dadeville, AL / La Fayette, AL
$10,000 Sign-on Bonus for External Candidates
Posted 1 day ago
$10,000 Sign-on Bonus for External Candidates
Posted 1 day ago
$10,000 Sign-On Bonus for External Candidates
Posted 1 day ago
$10,000 Sign-on Bonus for External Candidates
Posted 1 day ago
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
Posted 1 day ago
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
Posted 1 day ago
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
Posted 1 day ago
Greeting and checking in patients as they arrive to our centers Verifies patient insurance information upon check in Copies insurance cards and driver's license for all new patients Collects patient paperwork and enters patient information into systems, ensuring patient information is accurate and up to date Review and process all assigned Prior Authorization orders to co
Posted 1 day ago
Receives and processes instrumentation, supplies, and equipment from the operating room, departments, clinics, and outside customers in a timely manner Cleaning and decontamination of instruments, scopes, equipment, and disposal of biohazard. Utilizing proper PPE, tech will disassemble, inspect, and decontaminate via manual, ultrasonic and automated process following IFU'
Posted 1 day ago
Primarily answering prior authorization with inbound calls (up to 50 to 70 calls per day) from providers/members as well as research and resolve formulary and benefit issues using the appropriate reference material Process authorizations through various computer systems and use of job aid/policies/procedures ensuring the accuracy of all data and updating as necessary Have
Posted 1 day ago
Primarily answering prior authorization with inbound calls (up to 50 to 70 calls per day) from providers/members as well as research and resolve formulary and benefit issues using the appropriate reference material Process authorizations through various computer systems and use of job aid/policies/procedures ensuring the accuracy of all data and updating as necessary Have
Posted 1 day ago
Act as a Subject Matter Expert for other team members Manage the intake of members or the admission / discharge information post notification. Work with hospitals, clinics, facilities, and the clinical team to manage requests for services. Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification, and
Posted 1 day ago
Takes lead role in directing disposition of patients and utilization considerations Assumes leadership role to facilitate interdisciplinary collaboration Effectively problem solves and actively pursues resolution Directly communicates with staff, physicians, patients, and families Role models leadership behavior through courtesy, respect, and efficiency Coordinates patien
Posted 1 day ago
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