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Optum
- Pinehurst, NC / Sanford, NC / Southern Pines, NC
Hybrid Remote
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Optum
- Orlando, FL / Tampa, FL
The Facilities Manager is responsible for maintaining the look, feel, and function of WellMed, PCPMG, and USMD. Directly supervises Facilities staff to include Facilities Coordinators in assigned markets. Ensures documentation and provides reporting from computer based maintenance management system (CMMS) such as ServiceNow. Essential Job Functions Oversees assigned Marke
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Demonstrates a high level of performance in the Care Access Center employee role and effectively establish, prioritize, and balance the various duties of both the lead and employee roles. Provide first level support to the Care Access or Patient Access team. A technical professional who assists with the development and tracking of department metrics and will provide repor
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Optum
- Santa Ana, CA
Deliver high quality patient care through face to face, telephone, and electronic contact for examination, treatment, monitoring, and preparation for diagnostic tests or procedures Collect and document patient information, including vital signs, chief complaint, review of medications, allergies, health risk screen information, the status of extended care benefits, and oth
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Supporting a care team of APC's and RN(s)with overall coordination of member care Functioning as part of a collaborative team Data entry and member chart management for New members Post hospital visits Pre visit updates Health maintenance updates Stars Lab results Medication entry Obtaining medical records following hospitalizations and physician appointments Obtaining co
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Solid analytical skills required to support, compile, and report key information Drive processes and technology improvement initiatives that directly impact Revenue, HEDIS/STAR measures and Quality Metrics, using standard project methodology (requirements, design, test, etc.) Use data to identify trends, patterns and opportunities for the business and clients. Develop bus
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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, c
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Provide care that is compassionate, appropriate, and effective for the treatment of dermatology care related health problems Compliance with all coding and documentation requirements Practice evidence based medicine Outpatient Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing Establishes and maintain
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Direct and manage a complete continuum of high quality care within the care team. Treat chronic diseases and disorders. Reviews patient file/record, including allergies, problems, medications, and immunization status. Elicits and records information about patient's medical history. Orders or executes various tests, analyses, and diagnostic images to provide information on
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Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits. Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner. Organizes a
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Verify eligibility and obtain authorization from insurance companies Ability to obtain authorizations for in office procedural injections Ability to obtain authorizations for MRI and Ct scans Ability to obtain authorizations for visco supplementations Follow up on authorizations submitted Ability to follow up with patient messaging Load or update insurance information as
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Intermediate or above skills with various handheld tools Must be familiar with using CMMS systems and prioritizing service requests Ability to climb ladders, basic knowledge of HVAC, plumbing, electrical, and handy man skills Ability to lift 50lbs Follow specified procedures to lockout/tagout unsafe or unusable equipment if required Maintain safety/preventative maintenanc
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Partner with legal and compliance teams to establish and deploy a comprehensive fraud identification, management and prevention program, formalizing processes, tools, and resources to address fraud across a multi billion dollar payments network Establish a high performing team to drive and support the operational roadmap for S3 and third party network management Lead the
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Perform Clinical Intake with patients to include taking and recording vital signs and patient history Assist patients as needed with walking, transfer, specimen collection, exam preparation, etc. Complete patient referrals and patient callbacks daily Maintain clinical supplies and equipment and ensure proper storage of biohazards Clean exam/procedure rooms, instruments an
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Serve as a resource or Subject Matter Expert (SME) for other team members or internal customers Handle escalated calls, resolving more complex customer issues in a one and done manner Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explan
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