Continuum of care planning that integrates initial assessment of the patient with appropriate post hospital discharge services Must demonstrate excellent communication and collaboration skills Ability to identify gaps and/or barriers in treatment planning Provide patient, family, and/or caregiver education Initiate and ensure completion of all necessary paperwork Provide referrals for communi

Assist providers with examinations, minor surgical procedures and physicals May be required to perform certain tasks alone as instructed. These procedures may include but are not limited to Medical Duties Injections, sterile field set up, EKG, application of dressings and splints, PFT's, mass removal, flexible sigmoidoscopy, pap smears, pulse oximetry, orthostatic blood pressures, audiograms, spir

Support initiatives associated with the OptumHealth strategy Initiatives will focus on the optimization and alignment / realignment of internal business units to enable OptumHealth to transition from a holding company model to an integrated model Initiatives will be high impact and as such will require high levels of specificity and thoughtfulness, to ensure favorable outcomes Analyze large data s

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 furt

Assist in answering incoming phone calls in a prompt and professional manner Return calls as appropriate Connect and disconnect answering service, and follow up on messages received from answering service Assist in taking phone messages in a concise and complete manner Ensure phone calls will not be left on hold for excessive periods of time Assist "unscheduled" emergencies to the point that medic

Respond to and resolve customer service inquires and issues by identifying the topic and type of assistance the customer needs such as benefits, eligibility and claims, financial spending accounts and correspondence. Provide concierge and white glove level service, removing burdens and providing end to end resolution for customers Serve as a single point of contact for the customer and form a stro

Ensure all solutions adhere to enterprise IT principles, standards, and healthcare industry standards and regulations Responsible for intake scoping, solution concepts and initial cost estimation; system architecture definition at the logical level Define architecture blueprint for end to end systems to including integration of applications, systems, platforms and technical infrastructure Work clo

Answer incoming phone calls from prospective members and identify the type of assistance and information the customer needs with the goal to convert the caller to a qualified lead and ultimately sale Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems Using knowledge of the product portfolio to accurately

Assist providers with examinations, minor surgical procedures and physicals May be required to perform certain tasks alone as instructed. These procedures may include but are not limited to Medical Duties Injections, sterile field set up, EKG, application of dressings and splints, PFT's, mass removal, flexible sigmoidoscopy, pap smears, pulse oximetry, orthostatic blood pressures, audiograms, spir

Provides expert level review of inpatient clinical records within 24 48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the condition and acuity of care provided Conducts daily follow up communication with providers regarding existing clarifications to obtain needed docume

Assist providers with examinations, minor surgical procedures and physicals May be required to perform certain tasks alone as instructed. These procedures may include but are not limited to Medical Duties Injections, sterile field set up, EKG, application of dressings and splints, PFT's, mass removal, flexible sigmoidoscopy, pap smears, pulse oximetry, orthostatic blood pressures, audiograms, sp

Extensive work experience within own function Work is frequently completed without established procedures Works independently May act as a resource for others May coordinate others activities You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other

Establish and maintain positive clinical rapport with patients and their families, working closely with them in the provision of infusion therapy, education related to self care and self administration, and clinical monitoring of patient response to therapy Assess patient appropriateness for home infusion therapy, including safety of the home environment, availability of caregiver support, and wil

Ability to establish and maintain positive clinical rapport with all patients and their families, representing OptumRxincluding working directly with patients and their families, maintain contact and clinically monitor all patients providing direct infusion therapy services Oversight and supervision of nursing intake referral process and team, address issues that arise and manage and/or escalate a

Establish and maintain positive clinical rapport with patients and their families, working closely with them in the provision of infusion therapy, education related to self care and self administration, and clinical monitoring of patient response to therapy Assess patient appropriateness for home infusion therapy, including safety of the home environment, availability of caregiver support, and wil