Act as a Subject Matter Expert for other team members Manage the intake of members or the admission / discharge information post notification. Work with hospitals, clinics, facilities, and the clinical team to manage requests for services. Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification, and

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 (including Health Exchange/Marketplace programs) Review medical records and take all necessary actions to expedite benefit approval Adhere to company and legal standards regard

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. This position is within our Refresh Mental Health (RMH) organization, which provides a variety of behavioral and mental health treatments, in

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

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

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

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

Operations Leads a team of Healthcare Representatives 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 Ensuring the quality and quantity of claims taken and ensures that claims are submitted / res

Operations Leads a team of Healthcare Representatives 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 Ensuring the quality and quantity of claims taken and ensures that claims are submitted / res

Reviews medication orders and evaluates appropriateness and completeness of orders with consideration given to the special needs and behaviors of the specific age group served Obtains patient prescription and assists physician, as necessary, in formulating prescriptions and monitoring regimen Enters medication orders into the computer system and dispenses medications in a

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

Utilize the national sales model to generate leads and enroll beneficiaries into the UnitedHealthcare Nursing Home plan Develop and manage account specific strategies to educate and engage facility personnel, resulting in the generation of interested residents and/or families (responsible parties) Utilize traditional sales strategies to uncover needs and introduce feature

Define assigned market, implement marketing strategies and develop sales plan utilizing available resources to effectively penetrate the assigned payer, physician, hospital markets for all products and services Assign and manage available sales resources to support sales and marketing strategies and meet planned objectives Demonstrate proficiency in the development and im

Compounding IV medication Staging medication, supplies for dispensing You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications High School Diploma / GED (or higher) OR

Complete provider orders per state and provider regulations 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 over read results to providers Retrieve and archive radiographic reports Create/Burn CD’s in compliance with HIPAA regula