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

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'

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility/benefits Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner Utilizes comput

Make outbound calls for appointment scheduling requests for medical services Schedule appointments in practice management system in accordance with triage guideline, scheduling protocols and patient preferences Make outbound calls to eligible patients Recommend next best actions or cross promotional opportunities to patients and provide education on appropriate additional

Supports patient care delivery in the areas of scheduling, insurance verification, and support services Ensure patients are fully ready to have successful interactions when they come in for a visit Own provider schedule accuracy, providing scheduling options, match patient needs to appointments across the continuum Adhere to multi disciplinary standardized scheduling prot

Answer incoming calls in a customer friendly and professional manner to determine the purpose and request of the call and process appropriately Meet department metric expectations for answering and processing calls Schedule and reschedule appointments for patients according to established protocols and templates Be sure to obtain appropriate and accurate data based upon t

Works with all members of the department health care team ensuring smooth patient flow within department. Responsible for the day to day operations including achieving established goals such as quality of care and budget expectations for production. Ensures compliance with all policies and procedures in accordance with State and Federal Regulations. Uses daily management

Must conduct home visits at least once per month, required visits in the office, schools, and other facilities as necessary to ensure Home and Community Based client care Assist with support groups, as assigned, if necessary Keeps all required documentation current 90 day reviews and Treatment Plans, as well as any other documentation requirements If client has a guardian

improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well being as a team member. Join a team at the forefront of value based care and discover the meaning behind Caring. Connecting. Growing together. Position Details

Call members to schedule in home visits with a Physician or a Nurse Practitioner Answer inbound calls from members and assist them with their inquiries Ensure that the appointments are scheduled accurately and resolve any scheduling issues or concern This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our me

Actively engage leadership and staff at all levels to enhance the patient, staff and provider service experience Collaborate with market leadership to foster an environment that supports high levels of patient, staff and provider engagement in improving patient experience Develop training programs, localized strategies, unit/department based activities to increase awarene

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

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 Review medical records and take all necessary actions to expedite benefit approval Adhere to company and legal standards regarding Protected Health Information (PHI), Personal

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits Utilizes computer systems to enter access or verify patient data in real time ensuring accuracy and completeness of information Gathers necessary c

$3,000 Sign on Bonus for External Candidates Opportunities with Optum in the Tri State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state of the art technology and brilliant