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

Conduct comprehensive assessments Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions Manage members during a short term sub acute rehabilitation episode Ensure accurate and complete documentation, including ICD 10 conditions Communicate and collaborate with the interdisciplinary care t

Understand the Culture and Values of Southwest Medical and OptumCare Learn about Population Management and the way it is implemented at Southwest Medical Get to know Southwest Medical Providers and Staff Mentoring by Southwest Medical Physicians Opportunity to do elective rotation with Southwest Medical Attend Quarterly provider meetings and monthly department meetings wh

Delivers high quality patient care through face to face, telephone, and electronic contact for examination, treatment, monitoring, and preparation for diagnostic tests or procedures Collects and documents patient information, including vital signs, chief complaints, review of medications, allergies, health risk screen information, the status of extended care benefits, and

Obtain accurate and updated patient information, such as name, address, insurance information Perform insurance verification on the date of service Obtain patient signatures for required documents Upload a valid Government issued state ID of patient and patient insurance cards File and maintain medical records Consistently correct registration work queue errors Confirms a

Travel to provide skilled nursing care for infusion patients in their home and infusion suite Teach patients and their care givers to achieve the highest level of independence possible in self care and monitoring of their infusion therapy Assess the patients' condition and response to therapy, taking action as needed to facilitate achievement of treatment goals Collaborat

Interview patients in a hospital setting and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverage Complete applications for state and federal programs Review medical records and take all necessary actions to expedite benefit approval Adhere to company and legal standards regarding Protected Health Information (PHI), Personal

Maintains up to date knowledge of specific registration requirements for all areas, including but not limited to Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration Properly identifies the patient to ensure medical record

Assist in the review of medical records to highlight Star opportunities for the medical staff. Activities include data collection, data entry, quality monitoring, upload of images, and chart collection activities. Locate medical screening results/documentation to ensure quality measures are followed in the closure of gaps. Will not conduct any evaluation or interpretation

Provides mental, behavioral, and/or psychological treatment services or therapy directly to patients utilizing a variety of treatment methodologies Services/treatment/therapy may be provided in individual or group environments and may be provided virtually or in person Assists patients and their families to change behaviors and to locate and access interpersonal, family a

Supports patient care delivery in the areas of scheduling, insurance verification, and support services Ensure patients are fully ready to have successful interactions when they come in for a visit Own provider schedule accuracy, providing scheduling options, match patient needs to appointments across the continuum Adhere to multi disciplinary standardized scheduling prot

Manage unit cost budgets, target setting, performance reporting and associated financial models Predict emerging customer needs and develop innovative solutions to meet them Help develop geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management Evaluate and negotiate contracts in compliance with compan

Interview patients in a hospital setting and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverage Complete applications for state and federal programs Review medical records and take all necessary actions to expedite benefit approval Adhere to company and legal standards regarding Protected Health Information (PHI), Personal

Performs routine diagnostic imaging procedures in support of diagnostic services as requested by a licensed medical provider Provide general clerical support duties to include scheduling patients and answering phones Maintains credentials and/or licensure Attends and participates in departmental staff meetings Maintains and monitors departmental equipment Collects data an

Prepares reports to assess team's performance, trending analysis, headcount reports, attrition, inventory, etc. Provides explanations and interpretations within area of expertise Uses pertinent data and facts to identify and solve a range of problems within area of proficiency Investigates non standard requests and problems, with some assistance from others Evaluates busi