Authorize healthcare services in compliance with contractual agreements, health plan guidelines and medical necessity criteria Maintain clinical expertise and maintain knowledge of scientific progress in nursing and medical arena and incorporate this information into the review and case management processes Maintain logs and proper documentation of cases reviewed, case management activities and

This LPN position is in adult medicine. Responsible for collection and documentation of patient information to include vital signs, chief compliant, review of medications, allergies health risk screen information, status of extended care benefits and other services Provide clinical intervention such as drug administration, treatments, and procedures as ordered by provider and within scope of pract

Complete provider orders per state and provider regulations Perform Clinical Intake with patients to include taking and recording vital signs and patient history Assist patients as needed with walking, transfer, specimen collection, exam preparation Complete occupational health testing including such services as urine drug screens, breath alcohol testing, hair testing and physicals Complete patien

Sets priorities for the team to ensure task completion and/or meeting MOC or NCQA guidelines Coordinates work activities with other supervisors and representatives from health plans Develops plans to meet short term objectives Identifies and resolves operational problems using defined processes, expertise and judgment Decisions are guided by policies, procedures and business plan and health plan r

Positions in this function are responsible for checking in, scheduling appointments, answering billing questions and managing patient medical records for a clinic. Roles may vary based on the size of the clinic(s). 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

The Medical Receptionist / Patient Care Representative performs a variety of secretarial and administrative duties to assist the Medical Provider with providing patients with the highest standards of medical care and a positive customer service experience. Primary Responsibilities Greets patient when entering the practice Obtains accurate and updated patient information, such as name, address, ins

Positions in this function are responsible for checking in, scheduling appointments, answering billing questions and managing patient medical records for a clinic. Roles may vary based on the size of the clinic(s). 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

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.SM Candidates in this role will act as a main point of contact for client leadership and facilitate client / MARCH meetings. They will

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.SM UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 6, we are totally focused on innovation

Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescription status inquiries Guide and educate callers on their prescription benefits, use of plan, formulary, premiums and status of orders and claims or inquiries Ask appropriate questions and listen actively while documenting required information in computer systems Identify issues and communica

Conducts initial assessments within designated timeframes on patients identified as having complex case management needs (assessment areas include clinical, behavioral, social, environment and financial) Collaborates effectively with integrated care team to establish an individualized plan of care for members. The integrated care team includes physicians, case managers, referral coordinators, phar

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm) WellMed provides concierge level medical care and service for seniors, delivered by physicians and clinic staff that understand and care about the patient's health. WellMed's proactive appro

Here at Optum, part of United Health Group we'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.(sm) Primary Responsibilities Transportation Specia

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) You push yourself to reach higher and go further. Because fo

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'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 reliably. There's no room for error. Jo