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Work with medical professionals and business analysts to identify and build out metrics to monitor the prevalence of medical procedures that are over utilized as well as metrics to best measure the quality of care that each medical clinician is providing Development of data queries and extracts necessary for network analytics initiatives Interpret and analyze clinical data from various sources a
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Track incoming physician referrals by urgency and work them accordingly in compliance with established timelines Work batch files, scan, print, and schedule medical and diagnostic services appointments when requested by patients and doctors' offices Work daily physician reports for pending appointments as well as following up with patients that have been added to the Referral Wait List Assist Pati
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Traveling between serviced clinics to provide professional nail care to patients Provides consistent professional nail care to include trimming and buffing of toenails Organizes exam and treatment rooms, replenishes stock levels, cleans rooms and sterilizes medical instruments Keeps inventory of supplies and places replenishment orders as needed Returns any and all patient messages in a timely man
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Conduct a detailed eligibility verification of insurance benefits Determine coverage, service level co pays, deductibles and outstanding balances Accurately document and maintain insurance and patient demographic information in Practice Management system Exceptional verbal, written and interpersonal communication skills Proven experience with developing positive relationships with physicians,
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Works within the California MA Scope of Practice to performs patient intake process (vital signs, history) Performs clinical procedures (injections, ear lavage, EKG) Assists the providers with invasive procedures Maintains clinical logs (autoclave, temperature logs) Submits electronic referrals for additional services Enrolls / responds to electronic patient messages in the patient portal pro
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Assist with the care of orthopedics patients. Apply complex casts, splints, and other orthopedic devices under the guidance and supervision of attending medical staff. Maintain orthopedic equipment. May exercise functional and technical lead over lower level Orthopedic Technician staff. Adheres to policies, procedures and regulations to ensure compliance and patient safety. Participation in Compli
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OptumRx, a UnitedHealth Group company, with over 24,000 employees globally, specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. Our goal is to deliver high quality, integrated services to promote optimal outcomes, superior savings and outstanding client and consumer experiences. We make healthier happen by creating smarter he
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AppleCare Medical Group, part of OptumCare,is a group of leading, independent physicians that provide excellent care and quality service. Our doctors work with a team of AppleCare nurses, social workers and pharmacists to provide expert, personalized care.AppleCare Medical Groupis comprised of hundreds of board certified private practice, independent physicians. Collectively, our physicians have b
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Investigate medium to highly complex cases of fraud, waste and abuse Detect fraudulent activity by members, providers, employees and other parties against the Company Develop and deploy the most effective and efficient investigative strategy for each investigation Maintain accurate, current and thorough case information in the Special Investigations Unit's (SIU's) case tracking system Collect
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Load vehicles with medications/products for delivery. Provide timely and accurate completion of deliveries in an efficient and courteous manner. Verify receipt and provide signature for receipt of items delivered. Process any required paperwork according to established procedures. Vehicle Maintenance Shred paperwork for disposal. Assist in maintaining a clean pharmacy environment by performing var
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Identify and provide community service linkage Assist enrollees with aftercare appointments Provide subsequent member follow up as determined by individual member needs Work with enrollees to identify gaps in care or obstacles to care and problem solves for successful connection to needed services Review IP Census each day to determine which enrollees on the census are re admits within the last 12
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Maintain up to date knowledge of specific admission, registration, and pre registration requirements for all areas, including but not limited to Main Admitting, OP Registration, Maternity, and Rehabilitation Units Verify insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage When co
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Provide exceptional customer service to all patients and members of the clinic staff Under direct supervision of the registered pharmacist, fills prescription orders and makes them available for verification by the Pharmacist. Once verified by the pharmacist, dispenses the prescriptions. Order, receive and store incoming pharmacy supplies. Receive and process wholesaler medication orders. Verify m
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of Functions The Consumer Medication Coordinator position at Genoa is an essential role that impacts the lives of an underserved population that needs a voice. This position is a liaison between a partner clinic and a Genoa mental health specialty pharmacy. Primary responsibilities include building strong relationships with the clinic partners and communicating with consumers to assist them with t
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Obtains blood specimens from patients using venipuncture and capillary collection methods from patients of all ages from newborn to geriatric Processes specimens by centrifugation and separation Carries out all duties while respecting member and provider confidentiality and promoting the mission and philosophy of USMD Collects laboratory specimens from patients of all ages Processes laboratory
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