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Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakehol
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Provide consultation to providers and/or consumers on a variety of issues including benefit information, safety issues, confirmation of prior authorizations and approvals, procedures for higher levels of care evaluations, and request for an explanation of the level of care, coverage determination, or best practice guidelines Respect confidentiality and maintain confidences as described in the UHG
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Reviews medication orders and evaluates appropriateness and completeness of orders with consideration given to the special needs and behaviors of the specific age group served Verifies all prescriptions not directly received from the prescriber or physician’s agent Provide oversight of the safety; appropriateness, and effectiveness of the pharmaceutical care provide to patients (consumers) a
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Provide direct client support through phone, email and virtual meeting platforms Take inbound calls and electronic correspondence troubleshoots / resolves / escalates client issues Will escalate problems to appropriate resources in a timely manner Collaborate with internal business partners to resolve technical / clinical issues related to claims manager and ACE software products Employee will
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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 poin
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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
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Performs concurrent review of provider documentation, diagnoses and charge codes for Medicare Advantage members for assigned providers or sites to ensure proper ICD 10, CPT, CPTII, HCPCS and modifiers are applied. Query providers or clinic staff as necessary for clarification of documentation or lack thereof as it pertains to proper application of ICD 10 HCC diagnosis codes. Reviews additional c
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Greeting & Registering patients Entering exam orders as required Responsible for obtaining all demographics and insurance information Point of service collections Authorizations from patients (or their representatives) and physicians in a courteous and efficient manner for billing Providing information Answering phones Other duties pertinent to optimal patient experience, patient flow, and eff
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Assist with creating recruiting strategies to enroll to current enrolling trials Assesses patient's clinical data to determine eligibility for a specific protocol Completes study specific training as required to participate in specific clinical trials Creates and maintains data source documents Monitors patient progression through the protocol to insure patient compliance Monitors patient appo
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Planning System Center Configuration Manager hierarchy and site systems roles Creating and managing Boundary Groups across one or more Distribution Points Management of site communications. (Bandwidth, Secondary Sites, etc.) Role Based Administration Managing custom roles and security groups General monitoring of site health via SCCM console Planning, configuring and implementing a backup plan
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Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no roo
Posted Today
Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no roo
Posted Today
Assess training and organizational development needs, developing training programs and/or conducting training sessions related to the CO market Medical Management Department functions and programs Maintain clinical expertise and knowledge of scientific progress in nursing and medical arena and incorporate this information into the training program Management of team workflows, processes, and other
Posted Today
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
Posted Today
Provide exceptional customer service to all patients and members of the clinic staff Fill new prescriptions and refills of medications using various forms of compliance packaging. Medication ordering and maintenance of appropriate inventory controls within the pharmacy. Within the guidelines of the authorized protocol, manage the storage and designation of sample medications, and patient assistanc
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