UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) Reporting directly to the NC Community (Health) Plan support

Own the service experience of customers at the field level by working with the Operations Service Team and other matrix partners as required to ensure issues are resolved promptly and accurately meeting the customer's expectations Develop and maintain strong relationship with internal partners in Operations Service Team to manage customer service experience Fully accountable for supporting the SAE

Serve as liaison between patients, staff and providers Support the care team and its patients by providing and documenting nursing care following established standards and practices Document all patient interactions and other clinical activities accurately and in a timely manner in the electronic health record (EHR) Demonstrate respect for patients and ProHealth staff by presenting a friendly, cou

Organize and provide home care services including medication administration, education and wound care among other responsibilities Coordinate with the RN supervisor to assure the client driven plan of care strives to meet positive outcomes through on going evaluation using evidences based practice Responsible for making certain the home care provided is compliant with state and federal regulation

Greet patients & visitors upon entry to the facility Answer phones; monitor faxes Obtain medical records from outside facilities when necessary Assign faxes/documents to patient charts in the electronic database Enter/update patient data into the electronic database Maintain patient logs and visitor logs Makes contact with referral sources and potential patients for obtaining demographic informati

In support of Chief Medical Officer (CMO), define and build product capabilities and value delivery in the area of Population Health Management Build and realize strategies and vision by understanding and bringing visibility to the voice of the patient, government standards, and clinician journey at the highest levels of the organization to drive clinical outcomes Define vision, strategy and roadm

Facilitate and coordinate projects that may span multi departmental and cross functional areas. Create and update business requirements documents in collaboration with business and technical stakeholders Develop business context diagrams (e.g. business data flows, process flows) to analyze and confirm project requirements Identify the business impact of system/application changes Identify gaps bet

Generate and document 70+ outbound calls per day to members and providers to influence next actions Convey deductible and out of pocket cost information to members and collect payment Demonstrate and maintain understanding of state and federal regulatory requirements as they apply to medical device and payment operations (e.g., Payment Card Industry (PCI) compliance) Demonstrate understanding of r

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 instruments Maintain quality

Support business leaders in organizing meetings, scheduling, travel and expense management. Coordinate meetings and conference calls as needed or anticipated Maintains Outlook calendar(s) in current and accurate status Prepares meeting materials and assists with the development of PowerPoint presentations Supporting broader team in ensuring schedules and meetings are aligned. Creates and modifies

Assist in opening and closing the clinic, locking and unlocking the doors, and maintaining a clean waiting area Welcome all On Site Clinic patients and visitors by greeting them with a friendly demeanor, answering inquiries and directing them through the registration process Answer multi phone lines, filing, faxing, scanning documentation and completing daily patient callbacks Collect all insuranc

Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Jo

Assist families and consumers with defining their recovery goals, and developing the resiliency skills and knowledge needed for the consumer's recovery. Support the creation of and assist with the implementation of a comprehensive training and education program with peers, families, providers and staff. Assist consumers who are dealing with the most complex and difficult issues, including homeless

Conduct in home assessments on health plan members. Average visit is 45 60 minutes in length. Assessment is performed and completed electronically. HouseCalls Assessment includes Past medical history Review of systems Physical examination Medication review Depression screening Checking vitals, conducting a physical exam that includes monofilament test, urine dipstick, and foot exam (as appropriate

Perform initial and concurrent review of inpatient cases applying evidenced based criteria (i.e. MCG / Interqual criteria) Discuss cases with facility healthcare professionals to obtain plans of care Collaborate with Optum Enterprise Clinical Services Medical Directors on performing utilization management Participation in discussions with the Clinical Services team to improve the progression of ca