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

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 nursing assessments and develops, implements and evaluates plans of care in conjunction with the physician, patient and caregivers per agency policy and procedure Evaluates the effectiveness of the plan of care, the patient's response to care and outcomes of care and revises the plan of care as needed Re evaluates patient nursing needs to include on going assessm

Conducts audit reviews of Organization Determinations, Adverse Determinations and Notice of Medicare Non Coverage documents (NOMNC) and Detailed Explanation of Non Coverage (DENC) documents to assure accuracy and compliance with UM health plan, CMS, NCQA, URAC and Department of Insurance guidelines Utilizes audit tools to perform documentation audits on job functions with

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

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

Research and resolve UM inventory accordingly to meet productivity and quality standards to include Claims reports with reconciliation needs Information received through Right Fax Information received through email Or any other methods of receipt (phone calls, etc.) Coordinates initial screening for UM claim reviews through claim queue Prepares administrative files for Me

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

Medical claims support Data entry, data management, and reporting Receive, Sort, Code, and forward electronic and physical mail to the appropriate department Applies knowledge/skills to activities that often vary from day to day Demonstrates a moderate level of knowledge and skills in own function Requires little assistance with standard and non standard requests Solves r

A partner of the Optum Care network, WellMed Medical Group, is seeking a nurse practitioner or physician assistant to join our WellMed at Seguin clinic in San Antonio, TX . Position Highlights Quality vs. quantity typically see 14 to 16 patients per day (30 min per visit) Instead of RVU or volume metrics, our providers are measured and rewarded on quality of care (most pr

A partner of the Optum Care network, WellMed Medical Group , is seeking a nurse practitioner or physician assistant to join our General McMullen clinic in San Antonio, TX . 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 helpi

A partner of the Optum Care network, WellMed Medical Group , is seeking a nurse practitioner or physician assistant to join our Barlite North clinic in San Antonio, TX . 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

A partner of the Optum Care network, WellMed Medical Group , is seeking a nurse practitioner or physician assistant to join our WellMed at Dugas clinic in San Antonio, TX . 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 helpi