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Identifies high risk enrollees, monitors utilization, creates care plans to address problems while maintaining quality of care. (Information is collected from MCOs, the patient, caregiver(s), LBHAs and other relevant parties.) Utilizes advanced clinical skills to make effective decisions to meet the enrollee’s health needs, using education, communication, and all available resources to promo
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Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Imagine this. Everyday, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for mil
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Provide direct customer service for care management department including responding to incoming calls to department. Finds solution or refers caller to appropriate team member for assistance. Complete outreach calls to patients identified as eligible for Case Management and Disease Management programs. Provides verbal confirmations and written documentation of determinations regarding benefit el
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Combine two of the fastest growing fields on the planet with culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliable. There’s
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Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence Educate customers about the fundamentals and benefits of consumer driven health care, guiding them on topics such as selecting the best benefit plan options, maximizin
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Energize your career with one of Healthcare’s fastest growing companies. You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, U
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Administrative Functions Hiring and management of necessary personnel based upon warehouse staffing needs. Receiving of all equipment and stock followed by all necessary documentation and handling involved in the receiving process as stipulated in the Warehouse Operations Manual. Ensures that the Purchase Order file contains nothing more than two weeks old. Responsible for working with purchasing
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Positive work ethic, inspire others, and model the behaviors of Genuine, Caring and Friendly Demonstrate effective verbal and written communication that is clear, well organized, and demonstrates an understanding of audience needs Thorough genuine and positive communication, makes each customer feel informed, understood, and special Effective team player who contributes valuable ideas and feedb
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Provides health education and coaches consumers on treatment alternatives to assist them in best decision making Supports consumers in selection of best physician and facility to maximize access, quality, and to manage heath care cost Coordinates services and referrals to health programs Prepares individuals for physician visits Assesses and triages immediate health concerns Manages utilization th
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The Vaccine Clinic Support staff is a detailed oriented and highly organized individual with excellent communication and time management skills to help set up the vaccination site and manage safe patient flow. Responsibilities include Administration Assist with the collection of data for county, state and federal reporting requirements. Assist with completion of daily reports. Work with IT on t
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Review, audit and Evaluate documentation of medical record Review/interpret medical records/data to determine whether there is documentation reflected accurately in medical record Follow relevant regulatory guidelines, policies and procedures in reviewing clinical documentation Prioritize providers for medical chart review according to collaboration with other Health Plans Identify incomplete/inco
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Lead design & development for modules and projects Be a core contributor of code, tests, automation, application design and architecture on an agile team of engineers working across the stack Solve tough technical problems at any level of stack (Backend/ Frontend/ Database/ Infrastructure) and be persistent in getting to the solution. Guide and mentor junior engineers Perform Code reviews Eng
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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 insur
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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
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Manage the day to day activity of a market sales team, with an expected number of direct reports not to exceed eight full time employees Develop and executes an annual sales plan, and monitors results based on monthly performance Provide senior market leader with assistance, reports and other items as requested, and functions as a member of the market leadership team Oversee compliance within t
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