No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. You'll help improve the health of millions. And you'll do your life's best work. (sm) In Optum Care, we're not just imagining a world where health care works better for everyone we're creating it. W

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. You'll help improve the health of millions. And you'll do your life's best work. (sm) In Optum Care, we're not just imagining a world where health care works better for everyone we're creating it. Th

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. You'll help improve the health of millions. And you'll do your life's best work. (sm) In Optum Care, we're not just imagining a world where health care works better for everyone we're creating it. W

Work with the National Emergency Team on design, development and implementation of new sites, new products and services, as assigned Serve as an infection prevention/control, point of care, and vaccine administration subject matter expert; providing guidance to on site teams as needed Demonstrate strong clinical thinking skills for evaluating clinical quality situations and decision making skill

Assist in opening and closing the clinic, locking and unlocking the doors, and maintaining a clean waiting area Welcome all On Site Clinic patients and visitors by greeting them with a friendly demeanor, answering inquiries and directing them through the registration process. Answer multi phone lines, filing, faxing, scanning documentation and completing daily patient callbacks Collect all insuran

Assist in opening and closing the clinic, locking and unlocking the doors, and maintaining a clean waiting area Welcome all On Site Clinic patients and visitors by greeting them with a friendly demeanor, answering inquiries and directing them through the registration process. Answer multi phone lines, filing, faxing, scanning documentation and completing daily patient callbacks Collect all insuran

Provide exceptional customer service to all patients and members of the clinic staff Fill new prescriptions and refills of medications using various forms of compliance packaging. Medication ordering and maintenance of appropriate inventory controls within the pharmacy. Within the guidelines of the authorized protocol, manage the storage and designation of sample medications, and patient assistanc

Manage administrative intake of patient referrals including benefit verification, prior authorization, and communication/collection of patient financial responsibility. Work with referral sources including hospitals, doctor’s offices, and home health agencies to maintain working relationships. Process incoming referrals received via email, fax, and electronic referral systems. Assist the c

Focus on initial inpatient admission for psychiatric and chemical dependency patients Make patient assessments and determining appropriate levels of care (could include inpatient, residential, and partial levels of care) Obtain information from providers on outpatient requests for treatment Determine if additional clinical treatment sessions are needed Manage inpatient and outpatient mental health

Gain a deep understanding of functional areas across OVC platform to facilitate cross functional OVC teams and leadership to drive the test and implementation of testing capabilities Participate actively in cross functional call forums in support of test readiness activities including requirements, testing, and defect resolution Own, drive, and continually improve processes and capabilities relate

Receive and record customer concerns via phone Act to resolve concerns in accordance for corporate guidelines and standards for all areas of claims, authorizations and IPA functionality Function as liaison between member, physician, health plan, and IPA staff Ability to interpret provider and health plan contracts to ensure accurate responses to calls Log issues into the Customer Service Tracking

Main point of contact for all CSRs Handling of escalated issues from CSRs Monitoring call ques, breaks, lunches Dissemination of special projects and acts as laison between departments to resolve CS issues Development & presentation of training materials Training of newly hired staff Receives and records customer concerns via phone. Acts to resolve concerns in accordance for corporate guidelin

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakehol

Identifies and provides community service linkage Assists enrollees with aftercare appointments Provides subsequent member follow up as determined by individual member needs Works with enrollees to identify gaps in care or obstacles to care and problem solves for successful connection to needed services Reviews IP Census each day to determine which enrollees on the census are re admits within the

Standard outpatient treatment, including requests for extended length sessions or single case agreements State specific Medicaid services (e.g. Psychosocial Rehabilitation, Targeted Case Management, Home Based Habilitation, Supported Employment, etc.) Intensive Outpatient services for both Mental Health and Substance Abuse Psychological /Neuropsychological Testing service requests The Psychologist