Care Management activities include early identification of high risk patients, concerted planning involving physicians and mid level practitioners, monitoring of services provided by outside physicians, home health, DME, and other providers; monitoring emergency department use as well as identifying opportunities to decrease emergency department utilization and other elem

Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8 8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's really important . We provide a broad scope of

Directs patient to proper exam/treatment area and prepares patient for examinations and other procedures. Assists in the transportation of patients and patient flow Obtains records and reports vital signs and any other pertinent patient information to the RN or clinician Administers medication, performs various patient tests and instructs patients on procedural preparatio

Care Management activities include early identification of high risk patients, concerted planning involving physicians and mid level practitioners, monitoring of services provided by outside physicians, home health, DME, and other providers; monitoring emergency department use as well as identifying opportunities to decrease emergency department utilization and other elem

Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8 8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's really important . We provide a broad scope of

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Join a team that is discovering new ways to help the health system work better for everyone. OptumCare is the fastest growing part of the Uni

Clinical Case Reviews 75% Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported Maintain standards for productivity and accuracy. Standards are defined by the department Provide clear and concise clinical logic to the providers when necessary Examine, assess, and document business operations

Accuracy of cost of goods in internal systems and ensuring all product purchases are executed under the preferred contract and price Collaborate with contract sources including GPOs (Group Purchasing Organization), manufacturers and wholesalers to establish standard cadences and formats for catalog and price updates Manage day to day relationships with GPO partners includ

Provides direct patient care as defined in the state Nurse Practice Act and agency's policies Implements plan of care initiated by the Registered Nurse Provides accurate and timely documentation consistent with the plan of care Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care Participates in the coordinat

Assesses and evaluates patient care needs. Suggests solutions to patient care problems & complaints Identifies & recommends solutions to departmental problems Assists in assessing departmental function and productivity & recommends changes as necessary Assesses patient/family learning needs and coordinates and carries out teaching plan You'll be rewarded and recognized fo

Care Management activities include early identification of high risk patients, concerted planning involving physicians and mid level practitioners, monitoring of services provided by outside physicians, home health, DME, and other providers; monitoring emergency department use as well as identifying opportunities to decrease emergency department utilization and other elem

Supports patient care delivery in the areas of scheduling, insurance verification, and support services Ensure patients are fully ready to have successful interactions when they come in for a visit Own provider schedule accuracy, providing scheduling options, match patient needs to appointments across the continuum Adhere to multi disciplinary standardized scheduling prot

Optum is looking for an Orthopedic Nurse Practitioner/Physician Assistant to join our Urgent Care team in Redlands, CA .The clinicians we seek are those who practice medicine with a focus on patient care, not volume. We want our clinicians to take the time needed to truly address the patient's needs. If you're looking to join a community that is making a difference in hea

Optum is looking for an Orthopedic Nurse Practitioner/Physician Assistant to join our Urgent Care team in Redlands, CA .The clinicians we seek are those who practice medicine with a focus on patient care, not volume. We want our clinicians to take the time needed to truly address the patient's needs. If you're looking to join a community that is making a difference in hea

Supports case management operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating) Oversees care management functions and ensure compliance with application of criteria from approved standardized guidelines, government mandated regulations and contractual agreements, to include NCAQ, URAC, and CMS Engages in Care