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You get it. Everyone gets it. The health care system needs to evolve even further than it has and it has to do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here's where you come in. As member of our network contracting team, you'll help develop and support Provide
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Nurse Practitioner Traveler House Calls Sign On Bonus and Loan Repayment for External Candidates and Eligible Employees This position requires travel to multiple states in the Western Region, including CA. We're fast becoming the nation's largest employer of Nurse Practitioners; offering a superior professional environment and incredible opportunities to make a difference in the lives of patients.
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Care Coordination Benefit Determination Therapy Coordination Team Support In servicing Clinical Documentation Advanced Care Planning Communication Support of contracted providers Quality/HEDIS Patient Care Expect to spend about 50% of your time in the field visiting our members in long term care facilities. You'll need to be flexible, adaptable and, above all, patient in all types of situations. O
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Riverside Medical Group Medical Assistants, under the supervision of a licensed Medical Provider, are to assist the Medical Provider with providing patients with the highest standards of medical care. Must be able to work between 8am 8pm along with working every other weekend. Primary Responsibilities Prepares the patient for the Medical Provider's examination by obtaining vital signs and patient
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Performs nursing assessments and develops, implements and evaluates plans of care in conjunction with the physician, patient and caregivers per agency policy and procedure Evaluates the effectiveness of the plan of care, the patient's response to care and outcomes of care and revises the plan of care as needed Re evaluates patient nursing needs to include on going assessments using the OASIS data
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Negotiate contracts with local pharmacy providers to ensure fair and reasonable compensation while maintaining company profits Investigate reimbursement issues as reported from the pharmacy or Account Management team in preparation for the pricing committee review Obtain proper approval for Custom NDC's from Account Management prior to sending to Provider Relations and Plan Design for system suppo
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Reviews medication orders and evaluates appropriateness and completeness of orders with consideration given to the special needs and behaviors of the specific age group served Verifies all prescriptions not directly received from the prescriber or physician's agent Provides oversight of the safety, appropriateness, and effectiveness of the pharmaceutical care provide to patients (consumers) as it
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At Optum, we share what might be seen as a surprisingly simple goal making the health system work better for everyone. We look for people who relentlessly push themselves to go farther. For these high performers, a position on a team at Optum, a business of UnitedHealth Group, is a natural fit. We offer more than the talent, resources and can do culture we offer a place to improve the lives of oth
Posted Today
At Optum, we share what might be seen as a surprisingly simple goal making the health system work better for everyone. We look for people who relentlessly push themselves to go farther. For these high performers, a position on a team at Optum, a business of UnitedHealth Group, is a natural fit. We offer more than the talent, resources and can do culture we offer a place to improve the lives of oth
Posted Today
At Optum, we share what might be seen as a surprisingly simple goal making the health system work better for everyone. We look for people who relentlessly push themselves to go farther. For these high performers, a position on a team at Optum, a business of UnitedHealth Group, is a natural fit. We offer more than the talent, resources and can do culture we offer a place to improve the lives of oth
Posted Today
At Optum, we share what might be seen as a surprisingly simple goal making the health system work better for everyone. We look for people who relentlessly push themselves to go farther. For these high performers, a position on a team at Optum, a business of UnitedHealth Group, is a natural fit. We offer more than the talent, resources and can do culture we offer a place to improve the lives of oth
Posted Today
You're looking for something bigger for your career. How about inventing the future of health care? OptumRx is creating an innovative approach to Specialty Home Infusion. Here you'll find a professional culture where you can use your talent and our resources to make an impact on a huge scale. With better schedules than retail and more reach than any hospital, you'll open doors for yourself that si
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This is a temporary role intended for 3rd year physician residents, interested in pursuing a full time role with our group following completion of residence OptumCare will educate and prepare Physicians for next generation population health models in a top notch patient and provider setting The customized program will be completed at OptumCare facilities with deep exposure to urgent care within a
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The Clinical Quality Consultant II (CQC) will drive consistency, efficient processes and share best practices, in a collaborative effort with the providers, designed to facilitate a minimum 4 STAR performance. The CQC will participate in quality improvement initiatives, attend monthly or joint operating committee meetings, develop recommendations for quality remediation plans and create tools and
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Direct oversight and supervision of the Value Based Program Consultants and the daily activities of the team including the following activities Communicate with behavioral health agency leadership and personnel to initiate appropriate interventions focused on improvement of clinical outcomes and efficiency, as well as compliance with care advocacy processes and contractual obligations Conduct BHH
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