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Making outbound calls to assess members' current health status Working with the complex maternity care needs Identifying gaps or barriers in treatment plans Providing patient education to assist with self management Interacting with Medical Directors, providers, internal and external partners on challenging cases Coordinating care for high risk maternity members Making referrals and connecting mem
Posted 1 day ago
Perform diagnostic procedure Produce diagnostic images using Doppler, abdominal or another ultrasound Prepare preliminary ultrasound report for physician Keys in test data and patient information into computer to maintain records of test result Maintains and calibrate equipment to ensure accuracy of results Explain procedure to patient so that they are well informed regarding the examination Follo
Posted 1 day ago
Conduct in home assessments on health plan members, including past medical history, review of symptoms, physical examination, medication review and depression screening Responsible for checking vitals, conducting a physical exam that includes monofilament test, urine dipstick and foot exam (as appropriate) Identify diagnoses to be used in care management and active medical management in the furthe
Posted 1 day ago
Works with facility and health plan representatives to coordinate the discharge planning process and transition needs based on patient's diagnoses and status Collaboration with the clinic team to proactively manage high risk patients by ensuring appropriate Frequency of PCP visits, Specialist referrals, Testing / screenings Medication Management to include medication reconciliation post discharge
Posted 1 day ago
Travel up to 100% Conduct in home assessments on health plan members Identify diagnoses to be used in care management and active medical management Formulate a list of current and past medical conditions using clinical knowledge, judgment and current findings Communicate gaps in care to member's PCP Identify referral needs Identify urgent and emergent situations for proper intervention Educ
Posted 1 day ago
Conduct assessments in a variety of settings on health plan members, including past medical history, review of symptoms, physical examination, medication review and depression screening Responsible for checking vitals, conducting a physical exam that includes monofilament test and foot exam (as appropriate) Identify diagnoses to be used in care management and active medical management in the furth
Posted 1 day ago
As part of a multi disciplinary care coordination team Addresses the total patient, inclusive of medical, psychosocial, behavioral, cultural, and spiritual needs Involves the individual patient and caregiver, as appropriate, in decision making Facilitates communication and coordination among members of the care team Provides patient care to include patient assessment prior to physician's / nurse p
Posted 1 day ago
Travel up to 100% Conduct in home assessments on health plan members Identify diagnoses to be used in care management and active medical management Formulate a list of current and past medical conditions using clinical knowledge, judgment and current findings Communicate gaps in care to member's PCP Identify referral needs Identify urgent and emergent situations for proper intervention Educate mem
Posted 1 day ago
Assisting in the development of the plan of care in addition to providing appropriate patient/ family/significant other counseling and education Ordering and interpreting appropriate laboratory and diagnostic studies Ordering of appropriate medication and treatments Referring patients for consultation when indicated i.e. dermatology, neurology, ophthalmology, endocrine, surgery, intensive care, in
Posted 1 day ago
Addresses the total patient, inclusive of medical, psychosocial, behavioral, cultural, and spiritual needs. Involves the individual patient and caregiver, as appropriate, in decision making. Facilitates communication and coordination among members of the care team. Provides patient care to include patient assessment prior to physician's/nurse practitioner's examination, serves as patient advocate/
Posted 1 day ago
Provide case management to members to assess for and find solutions to obstacles to care Link members to healthcare providers and community supports Work with members via telephone and face to face contacts to address healthcare needs Provide field visits to members who have been admitted to behavioral health hospitals Meet with members in the hospital and their home Assist inpatient behavioral tr
Posted 1 day ago
Conducts pre visit planning by reviewing patient's medical records to determine preventive care and treatment needs prior to scheduled appointment Manages incoming patient calls and messages by communicating with patients, family members, and care team to ensure that the patient's needs are met and appropriately documented in the telephone encounter in the electronic medical record. Provides patie
Posted 1 day ago
Visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers' offices Provide a complete continuum of quality care through close communication with members via in person or on phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels Assist members with
Posted 1 day ago
Ability to manage a compliance program with an understanding of complex or dual products Engages in high risk/complex remediation strategy & resolution and promote compliance with applicable laws and contractual obligations for various Medicaid products Collaborate with a team that conducts product specific legal research and monitors changes to requirements to mitigate risks and achieve complianc
Posted 1 day ago
Identifies prospective, high volume clients in target groups for assigned area. Secures appointments and qualifies these accounts In conjunction with Optum Infusion Services overall marketing plan, makes a sales plan with specific target accounts and sales objectives Upon approval of the plan, is responsible for the successful accomplishment of this plan including representing Optum Infusion Servi
Posted 1 day ago
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