Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, c

Manage administrative intake of members Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers Process incoming and outgoing referrals, and prior authorizations, including intake, notification, and census roles Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Revie

Assist in end to end behavioral health provider claims and help enhance call quality Assist in efforts to enhance ease of use of online provider portal and future services enhancements Contribute to design and implementation of programs that build / nurture positive relationships between the health plan, providers and practice managers Support development and management o

Assists physical therapists with patient flow and triage Assists physical therapists in providing services that help patients in recovery Assists physical therapists in fulfilling patient treatment plans and procedures such as exercises, hot and cold packs, traction and ultrasound Records patient responses to treatments and reports outcomes of each treatment to the physic

Answers all calls by greeting patients appropriately and listening actively for patient issue Follow protocols as written for correctly recording and delivering messages Provide patients with information on expected outcome of call Verify patient information and record all call information within the EMR as per written protocols Schedule or cancel appointments as per pati

Ensures excellent customer service when assisting patients, providers, and other departments over the phone or in person Collects and verifies patient demographic and insurance information, making changes as necessary to ensure accuracy within each encounter Engages other departments to assist with patient questions or needs Facilitates conversations with patients to prov

Obtain accurate and updated patient information, such as name, address, insurance information Perform insurance verification on the date of service Obtain patient signatures for required documents Upload a valid Government issued state ID of patient and patient insurance cards File and maintain medical records Consistently correct registration work queue errors Confirms a

Creates a great consumer and clinic partner experience and continually builds solid relationships with both groups to proactively meet their needs Serves as an expert to the clinical staff and proactively meets with their team on meeting their clinical outcomes Counsels and educates patients on the usage of medications, adverse effects, schedules and any personal question

Di s t r i bu t e s d r ugs p r esc r i bed by phys i c i a ns a nd o t her he a l t h p r a c t i t i one r s P r ov i des i n f o r m a t i on t o cus t o m e r s a bout m ed i c a t i ons a nd t he i r use F ocuses on p r ov i d i ng a supe r i or l evel of cus t o m er se r v i ce E nsu r es co m p li a nce wi t h a l l r e l ev a nt l a w s of t he a pp li c a b l e

Di s t r i bu t e s d r ugs p r esc r i bed by phys i c i a ns a nd o t her he a l t h p r a c t i t i one r s P r ov i des i n f o r m a t i on t o cus t o m e r s a bout m ed i c a t i ons a nd t he i r use F ocuses on p r ov i d i ng a supe r i or l evel of cus t o m er se r v i ce E nsu r es co m p li a nce wi t h a l l r e l ev a nt l a w s of t he a pp li c a b l e

Actively manages ProHealth inpatient/outpatient hospital census lists to conduct transition in care outreach Directly engages patients to ensure follow up appointments are scheduled, discharge instructions understood, and medication reconciliation Communicates as needed with Regional Medical Directors, providers, practice managers and other care team members to identify a

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. Reliant Medical G

Receive referrals or requests to provide support for members' health or psychosocial needs Validate appropriateness of referral or follow relevant guidelines (e.g. protocols, procedures, job aids) to provide initial response to referral Review specific diagnosis and member case files to understand reason for referral and identify critical data or information Leverage unde

Perform routine and specialized nuclear medicine procedures and examinations for radiological diagnosis Administer radio pharmaceuticals and medications for patient imaging and therapeutic procedures Operate computed tomography (CT) scanners that are used in conjunction with nuclear medicine procedures (PET technologists only) Provide images, data analysis and patient inf

May be assigned to help orient and/or train newly hired technologists. Primary Responsibilities The following are exemplary essential job duties and responsibilities and are not intended to represent an all inclusive listing of related essential functions of the position Performs mammography, general radiography and assists the radiologist in the performance of fluoroscop