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

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

Optum is looking for a Nurse Practitioner to join our Urgent Care team in Highland, CA .The clinicians we seek are those who practice medicine with a focus on patient care, not volume. We want our clinicians to take the time needed to truly address the patient's needs. If you're looking to join a community that is making a difference in healthcare,Optumis the place for yo

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

Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably.

Responsible for verifying insurance eligibility and benefits and making appropriate update as needed. Notifies supervisor of trends in information from insurance companies regarding eligibility and benefits. Notifies appropriate personnel of entity records that need to be combined or deleted. Notifies appropriate personnel of retro terms when claims need to be re billed t

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

Consistently exhibit behavior and communication skills demonstrating Optum's commitment to superior customer service, including quality, care, and concern with every internal and external customer Closely monitor patient safety at all times, i.e., will not leave the patient on an exam table unattended and participate in the Optum fall prevention program Comply with Optum'

Reviews referrals and communicates with the physician offices when additional information is needed or assists the office in re directing care to an appropriate provider or facility Maintains a complete understanding of each health plan contract's referral/authorization requirements and guidelines Identifies problems or complex cases and refers them directly to the Medica

Direct patient to proper exam/treatment area and prepare patient for examinations and other procedures. Assists in the transportation of patients and patient flow Obtain records and report vital signs and any other pertinent patient information to the RN or clinician Administer medication, perform various patient tests and instruct patients on procedural preparations unde

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

Assesses patient and family psychosocial needs and develops plan of care in concert with patient, physicians, nurses, HAs, other members of the departmental team and works in collaboration with other departments/programs such SCC/PAL, CAL AIM, ECM, MOC/SNP, CARE +, regional, SNFs, HIHR, Readmissions, Welcome Wagon, and Psych TOC Works in collaboration with CDOs Legacy App

Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when c

Acts as a patient advocate in the coordination and delivery of quality patient care Maintains patients' dignity by protecting patients' rights to privacy, confidentiality, and safety Works as a team with all ancillary services to expedite and coordinate patient care Directs patient to proper exam/treatment area and prepares patient for examinations and other procedures. A

Manage and submit daily request for referrals/authorizations Maintains on going and consistent tracking of all referrals/authorizations Work with providers and staff to ensure completeness of documentation to facilitate the referral/authorization process Assist physicians, as required in coordination of care for patients Contact IPA and Health Plans to ensure prior approv