Description External Opportunities with Optum in the Tri State region (formerly Crystal Run Healthcare, CareMount Medical, ProHEALTH New York and Riverside Medical Group) . Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state of the art technology and brillian

By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Review targets for Length o

By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Review targets for Length o

By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Review targets for Length o

Develop market business plans to motivate providers to engage in improving Stars measures to be 4 STARS or higher Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups Be the primary go to person for all STARS related activities within their assigned market(s) working within a matrix relationship which in

improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well being as a team member. Join a team at the forefront of value based care and discover the meaning behind Caring. Connecting. Growing together. Position Details

Work closely with data analysts to transform specification into client algorithms (4 Oracle, 2 Snowflake) Code complex procedures to support new client algorithms (4 Oracle, 2 Snowflake) Contribute to technical documentation of specifications and processes Responsible for weekly data loads and balancing of 9 accounts (6 Oracle, 3 Snowflake) Investigate data anomalies to d

Perform accurate X rays as ordered by the provider while practicing radiation safety precautions to include ALARA Prepare and transmit images to the radiologist for over read and report results to providers Retrieve and archive radiographic reports; create/burn CDs in compliance with HIPAA regulations Perform detailed and accurate data collection during clinical intake of

Creates a great consumer and clinic partner experience and continually builds strong relationships with both groups to proactively meet their needs Serves as an expert to the clinical staff and proactively meets with their team on meeting their clinical outcomes Counsels and educates patients on the usage of medications, adverse effects, schedules and any personal questio

Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer Under direction and supervision of physician, administers medications, administers immunizations, EKGs, ear washes, and other patient services. Assists in simple office a

Resolves highly complex business problems that affect clinical processes and functional requirements Participates in the development of measurable clinical business, affordability, and quality goals Identifies and prepares recommendations for cross functional/cross CDO medical management process improvements and opportunities Leverages data from multiple sources and analy

Build the future of data warehousing on the Azure Cloud/Snowflake Work closely with the client to build/expand our data warehouse solutions Serve as a key subject matter resource on complex and/or critical issues and business solutions Review work performed by others to deliver quality; provide recommendations for improvement Forecast and plan resource requirements Author

Packaging patient deliveries for shipments via FedEx and Courier Stocking medications and supplies Packaging and pulling medications and supplies Assisting with inventory/purchasing tasks Willingness to learn aseptic technique, compounding practices, and cleanroom sterility This role is equally challenging and rewarding. You'll need to work within multiple computer system

Collect Quality data and/or information based on applicable standards, state/federal or other regulations, customer requests, internal requests, or project assignments Investigate Quality problems identified, collect additional information to close gaps identified, monitor changes through steady state Work cross functionally and coordinate with others internally or extern

Assisting in the review of medical records to highlight Star/HEDIS opportunities for the medical staff Review medical records for data collection, data entry, and quality monitoring including health plan/WellMed form submission and chart collection activities that close gaps in care Partner with the leadership team, the practice administrative or clinical staff to identif