Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit determinations Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation Data gathering requires navigation through multiple system applications Staff may be required to contact the prov

Assist in efforts to enhance ease of use of physician portal and future services enhancements Assist providers and members with basic inquiries about claims, authorizations, benefits, and other issues Fostering and maintaining proactive, positive relations throughout the provider network by communicating with provider offices through face to face visits, emails, telephone

Provides exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to m

Directs patient to proper exam/treatment area and prepares patient for examinations and other procedures. Assists in the transportation of patients and patient flow Obtains records and reports vital signs and any other pertinent patient information to the RN or clinician Administers medication, performs various patient tests and instructs patients on procedural preparatio

Clinic Location Covina, CA Outpatient Primary Care including office consults, annual visits, follow up appointments and in office procedures Appointment Schedule Monday Friday; 40 / 20 minutes for consults and follow up appointments Average Patients per day 20 patients Required Qualifications Board Certified Advanced Practice Clinician Unrestricted California license or a

Greets patients as they arrive Coordinates patient flow Assists patient with intake or admitting processes including copying required documents Collects co payments, co insurance and deductibles and issues receipts Collects, records and balances payments Processes walk in patients and visitors Answers phones and schedules appointments Manages medical records (maintains, f

Greets patients as they arrive and manage appropriate standard wait times Complete check in and check out tasks to include patient demographic verification, insurance verification, complete pre authorizations and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Manages cashier box and da

Delivers high quality patient care through face to face, telephone, and electronic contact for examination, treatment, monitoring, and preparation for diagnostic tests or procedures Collects and documents patient information, including vital signs, chief complaints, review of medications, allergies, health risk screen information, the status of extended care benefits, and

Deliver high quality patient care through face to face, telephone, and electronic contact for examination, treatment, monitoring, and preparation for diagnostic tests or procedures Collect and document patient information, including vital signs, chief complaint, review of medications, allergies, health risk screen information, the status of extended care benefits, and oth

Deliver high quality patient care through face to face, telephone, and electronic contact for examination, treatment, monitoring, and preparation for diagnostic tests or procedures Collect and document patient information, including vital signs, chief complaint, review of medications, allergies, health risk screen information, the status of extended care benefits, and oth

Optum Clinic Locations All of the lower San Gabriel Valley, Los Angeles area Complete senior wellness visits at company owned outpatient facilities and independently contracted physician offices, as well as some home/custodial visits Schedule Monday Friday Average Daily Patient Census Up to 16 patients per day (10 12 patients per day on average) We will consider and train

Optum Clinic Locations All of the lower San Gabriel Valley, Los Angeles area Complete senior wellness visits at company owned outpatient facilities and independently contracted physician offices, as well as some home/custodial visits Schedule Monday Friday Average Daily Patient Census Up to 16 patients per day (10 12 patients per day on average) We will consider and train

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Assist in end to end provider claims and help enhance call quality Coach, provide feedback and guide others Assist in efforts to enhance ease of use of physician 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 Help implement traini

Assesses and evaluate patient vitals and care needs. Suggests solutions to patient care problems & complaints Identifies & recommends solutions to departmental problems Assists in assessing departmental function and productivity & recommends changes as necessary Assesses patient/family learning needs and coordinates and carries out treatment plan Starting IVs and accessin