Monitor day to day operations of the SPARCS Intake System including incident reports, defect tracking and resolution, extract generation, and maintenance and release activities Serve as a key resource on complex and/or critical issues Solves complex problems and develops innovative solutions Perform complex data analysis primarily in SQL to support operations Collaborate

include Suturing Splinting Initial interpretation with digital X Rays Incisions and drainage 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 healthy, and get back to what's really important. We are influencing change on a national scal

Leads a team of Resolution Specialists responsible for providing high quality client focused services by using knowledge of local, state and federal program requirements to efficiently maintain and update general applicant information to support client applications. Responsible for ensuring the quality and quantity of claims taken and ensures that claims are submitted / r

Provides exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to m

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

Screen and assess patients for common mental health and substance abuse disorders Provide treatment for a variety of mental health conditions using treatment approaches including cognitive behavioral therapy, dialectical behavioral therapy, and other evidence based methods Systematically track treatment response and monitor patients for changes in clinical symptoms and tr

Answers multiple departmental phone calls; responding to customer requests including, and not limited to cross departmental appointment scheduling, screening and routing calls, takes messages and forward as appropriate Communicate with providers regarding scheduling preferences, and ability to respond to urgent patient needs in accordance with established departmental pro

Responds to incoming phone calls and desktop items and refers if necessary. Calls patients as directed and/or as necessary to follow up and/or schedule appointments Coordinating and preparation of reports, analyzing data and identifying solutions Developing, maintaining, Excel, Smartsheet, Tableau reports, and other systems as needed Completes administrative projects and

Provides exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to m

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system Document timely with an added focus on closing HEDIS quality gap m

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

ProHealth Physicians, part of the Optum family of businesses, is seeking an experienced Adult Acute Care Advanced Practice Clinician [Physician Assistant or Nurse Practitioner] to join our team at Middlesex Family Physicians in Middletown, Connecticu t . Optum is a clinician led care organization that is changing the way clinicians work and live every day. At Optum, you'l

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Assist the provider / team with various care coordination activities in the nursing home Assist the provider / team with benefit determination associated with Medicare part A, part B, and part D benefits Collaborating with the primary Advanced Practice Clinician, (APC) and nursing facility to identify and respond to patient Change in Condition May assist the provider by c