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Primarily answering prior authorization with inbound calls (up to 50 to 70 calls per day) from providers/members as well as research and resolve formulary and benefit issues using the appropriate reference material Process authorizations through various computer systems and use of job aid/policies/procedures ensuring the accuracy of all data and updating as necessary Have
Posted 1 day ago
The PCP is expected to be able to provide care consistent with their licensure and/or certification Provides diagnosis, treatment, therapy and management of patients according to current standards of care Utilizes managed care processes for cost effective and efficient use of lab, radiology and extended service providers, including specialists, hospitals, skilled nursing
Posted 2 days ago
The PCP is expected to be able to provide care consistent with their licensure and/or certification Provides diagnosis, treatment, therapy and management of patients according to current standards of care Utilizes managed care processes for cost effective and efficient use of lab, radiology and extended service providers, including specialists, hospitals, skilled nursing
Posted 2 days ago
Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer Under direction and supervision of physician, administers medications, administers immunizations, EKGs, ear washes, and other patient services. Assists in simple office a
Posted 2 days ago
Optum Florida is seeking an internal medicine or family medicine physician to join our team in Poinciana (Kissimmee), FL . At Optum, we are transforming healthcare nationally while providing Physician led care locally. Work with the largest care delivery organization in the world and start doing your life's best work.(sm) Position Highlights Collaborate with a multi disci
Posted 2 days ago
Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer Represents the Company in a professional manner, following all Company policies and procedures Uses, protects, and discloses patients' protected health information (PHI)
Posted 2 days ago
Answering a high volume of inbound calls and making outbound calls while following a script Responding to questions and concerns along with creating patient cases for other staff Making appointments, confirming appointments, and rescheduling appointments Providing support from start to finish to resolve patient inquiries or concerns Ensuring patient satisfactory while pro
Posted 2 days ago
Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants Establishes and maintains effective relationships with patients, care givers, and/or their legal representatives, IDT members, PCPs, other collaborating physicians/providers, and facility staff when applicable Performs an initi
Posted 3 days ago
Performs all nursing duties within the scope of a Licensed Vocational/Practical Nurse (procedures, injections, medication administration, EKGs, phlebotomy) as determined by the applicable State Board of Nursing Participates in implementing established education plans for patients and their families with common health problems and well defined health learning needs Coordin
Posted 3 days ago
Takes ownership of facilities in their assigned market(s) Manages assigned work orders in ServiceNow. Completes notes and closes work orders to customers' satisfaction Responds to telephone calls and e mails for facilities support, ensuring continuous customer communication. Escalates issues to management when necessary Orders materials and services when needed, obtaining
Posted 6 days ago
Positions in this function perform various duties related to the fulfillment of prescription orders Dispense any or all of the following Unit doses, specialty pharmaceuticals, injectables, IV, enterals and related supplies following state and federal regulations and company policies and procedures Process, pack and ship outgoing pharmacy orders, ensuring drug, related sup
Posted 6 days ago
Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer Under direction and supervision of physician, administers medications, administers immunizations, EKGs, ear washes, and other patient services. Assists in simple office a
Posted 8 days ago
Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer Under direction and supervision of physician, administers medications, administers immunizations, EKGs, ear washes, and other patient services. Assists in simple office a
Posted 8 days ago
Assist physicians and nursing personnel with injections, EKGs, phlebotomy and other patient care procedures Maintain established quality control standards Record and process patient care documentation quickly and accurately Coordinate patient care as directed by physicians, company standards and policies Organize, stock and clean exam and treatment rooms and sterilize ins
Posted 8 days ago
Optum Florida is seeking an internal medicine or family medicine physician to join our team in the Conway area of Orlando. At Optum, we are transforming healthcare nationally while providing Physician led care locally. Work with the largest care delivery organization in the world and start doing your life's best work.(sm) Position Highlights Collaborate with a multi disci
Posted 9 days ago
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