Data entry of authorization requests from Providers, including but not limited to Treatment Authorizations Requests, Out of Network invoices, Retroactive Requests, Outpatient Authorization Requests, Day Service Requests, Therapeutic Behavioral Services, Intensive Home Based Services, Therapeutic Foster Care Requests, Treatment Plans, Claims Assessments, Inpatient and Outp

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,

Consistently exhibit behavior and communication skills that demonstrate the company's commitment to superior customer service, including quality care and concern with internal and external customers Use, protect, and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Anticipat

Here at Optum, part of the largest network of medical groups in the nation, we are seeking a dedicated and patient centric Dermatology Physician to join our growing team the greater Belleville, NJ care region (i.e., previously a Riverside Medical Group practice). Optum, part of United Health Group, is a Fortune 5, value based care delivery network of organizations that is

Screen and assess patients for common mental health and substance abuse disorders Provide treatment for a variety of mental health conditions using treatment approaches including cognitive behavioral therapy, dialectical behavioral therapy, and other evidence based methods Systematically track treatment response and monitor patients for changes in clinical symptoms and tr

Here at Optum, the largest network of medical groups in the nation, we are seeking a dedicated, patient centric General Neurologist to join our growing team in Mount Kisco, NY. 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 connec

A consultative partner to senior business leaders and internal clients, the VP of Communications will be adept at building relationships across a complex, matrixed organization Establish and expand trust based relationships with executive leaders through proactive, ongoing, disciplined engagement and expert strategic counsel Formulate and execute a range of communications

Communicates with all consumers of the mental health center regarding the medication services Genoa provides Recruits and enrolls consumers utilizing enrollment forms and copy the consumer's insurance card Facilitates the collection of prescriptions to be faxed to the pharmacy for dispensing Ensures all consumer insurance information is up to date in the Pharmacy system a

Partner with key stakeholders to develop and execute operational and strategic client plans that addresses the client's supply chain needs Lead efforts to develop and enhance analytics that drive insights related to supply expense management, surgical supply optimization, vendor negotiation, and operational efficiency Strategize with supply chain operations teams to strea

Work closely with vendors and cross functional teams to define, develop, refine/enhance production equipment and processes. This includes integrating various production equipment and process to existing This candidate must be able to effectively interact/interface with vendors, contractors, and internal team members/management to manage work plans, and deliverables to ach

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 Provide oversight of the safety; appropriateness, and effectiveness of the pharmaceutical care provide to pa

Works with the providers and clinic staff to identify patients at high risk Supports longitudinal care of the patient with chronic care conditions by Performing assessment of health conditions Performing medication reconciliation Conducting Motivational Interviewing and Self Management Goal setting Providing patient education, creating referrals to appropriate agencies an

Understand the Culture and Values of Southwest Medical and OptumCare Learn about Population Management and the way it is implemented at Southwest Medical Get to know Southwest Medical Providers and Staff Mentoring by Southwest Medical Physicians Opportunity to do elective rotation with Southwest Medical Attend Quarterly provider meetings and monthly department meetings wh

Performs medication review for patients to identify medication related problems and optimization opportunities Collect relevant information from various sources to understand the history and clinical status of the patient Complete patient centered assessment, considering functional status, risk factors, cultural factors, treatment goals, and health literacy Assess medicat

Screens and identifies members with high risk, long term chronic conditions who will benefit from care management services. Monitors utilization as needed. Referrals for cases may originate from various sources Performs member evaluations and onsite visits as needed in multiple settings, including but not limited to telephonic, member's homes, PCP/Specialists clinic, hosp