Conducts medical home visits on established Bridges in Complex Care patients performing a hands on exam at each visit Conducts urgent / acute visits on established Bridges in Complex Care patients with the goal of keeping the patient out of the hospital in order to receive the best medical care at home Provides ongoing assessments of the impact of life limiting chronic il

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

*****$1,500 Sign on Bonus for External Candidates*****

Works with the PCP and clinic staff to identify patients with high risk diagnoses such as CHF, IHD, COPD/asthma and diabetes and ensures clinical guidelines are being followed Contacts and performs initial interviews with patients who are in need of health coaching programs Conducts Chronic Care Model visits and reviews the patient's informal and formal support systems, f

Performs all nursing duties within the scope of a Licensed Vocational / Practical Nurse (procedures, injections, medication administration, EKGs, phlebotomy) as determined by the applicable State Board of Nursing Participates in implementing established education plans for patients and their families with common health problems and well defined health learning needs Coord

Review, process and identify medical claims based on standard operating procedures on CPS. Apply appropriate processes and procedures to process claims (e.g., claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates). Review and apply member benefit plans and provider contracts, Pricing,

Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits on cases and complete audit of medical records received to ensure proper editing is applied Review medical charts electronically Abstract and code diagnosis and procedures from the medica

include but not limited to Suturing (some facial) Splinting Initial interpretation with digital X Rays Injections (MA may not be available) STD's Incisions and drainage Pediatric care What makes an OptumCare organization different? Providers are supported to practice at the peak of their license Patients are treated like family we focus on helping patients get in, get heal

Manage teams and ensure all SLAs & MBOs are met Work closely with other departments to formulate steps for Process Improvement, cost reduction, and achieve business objectives Groom new supervisors and team leads Lead people development charters & ensure highly engaged workforce Eye to detail in managing QA for respective processes & demonstrate expertise over generating

Taking inbound calls Over the phone, research and provide referrals to providers/agencies in Salt Lake County to Medicaid eligible consumers. Utilize a computer database to verify Medicaid eligibility. Offer additional information such as phone numbers or addresses to individuals who have contacted the wrong organization. Complete additional administrative tasks as assign

include but not limited to Suturing (some facial) Splinting Initial interpretation with digital X Rays Injections (MA may not be available) STD's Incisions and drainage Pediatric care What makes an OptumCare organization different? Providers are supported to practice at the peak of their license Patients are treated like family we focus on helping patients get in, get heal

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

Incentive Bonus 2 times a year, 18 days of PTO & Closed on Major Holidays, plus 401K Match!

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

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