Support practice leaders to achieve business unit growth, utilization, revenue, IOI and NPS goals Assure effective staffing, training, talent management and talent acquisition processes Support planning, MBO and QBR processes Oversee engagement structure, pricing, and staffing Develop and oversee processes for staffing, including client engagement staffing and product development staffing and hiri

Assist clients in creating healthy goals for their personal health & wellness programs Deliver effective coaching in a manner that promotes behavior change Adapt coaching and education methods to accommodate the unique physical, psychosocial, cultural and age specific needs of each client This position is located onsite at 1850 E Florida Ave, Hemet, CA You'll be rewarded and recognized for your

Interact with internal and external customers in a courteous manner in person and via telephone Complete check in and check out tasks Schedule new and existing patients Verify insurance and complete pre authorizations and/or precertification of procedures Answer back line telephone calls, re direct calls as appropriate, assist callers with questions or concerns and take messages as needed Sorting

Assumes responsibility and accountability for patient care across the continuum Receives, evaluates, accepts and executes the initial patient intake process to assure that patient verification, assessment, teaching and ongoing scheduling of nursing services occur in timely manner Assures timely communication with other company personnel, and outside providers, physicians and other agencies, to ass

Lead and deliver professional level technical work in support of the development of company products, tools, platforms and services Operates within established methodologies, procedures, and guidelines Applies knowledge of principles and techniques to solve technical problems Works closely with other functions to understand customer needs and to develop product roadmaps Works with less structured,

Travel to provide skilled nursing care for infusion patients in their home or an ambulatory infusion suite Teach patients and their care givers to achieve the highest level of independence possible in self care and monitoring of their infusion therapy Assess the patients' condition and response to therapy, taking action as needed to facilitate achievement of treatment goals Collaborate

Initiate telephone calls to members, providers and other insurance companies to gather coordination of benefits data Verify/validate applicable systems to reflect updated COB information and ensure that future payments are processed correctly Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures,

Oversee initial inpatient admission for psychiatric and chemical dependency patients Make patient assessments and determine appropriate levels of care Administer benefits, review treatment plans, and coordinate transitions between various areas of care Obtain information from providers on outpatient requests for treatment You'll find the pace fast and the challenges ongoing. We'll expect you to a

Works in a hospital setting and builds solid relationship with patients, hospital staff, pharmacy team as well as other clients and stakeholders aligned with the business group Participates in daily/weekly/monthly team meetings and acts on feedback to ensure quality care on site Educates potential patients about services provided at time of discharge and articulates how patients may utilize pharma

Properly packs product as required by Standard Operating Procedures Daily box preparation work Create or fix any shipping labels as needed Create shipping labels for international shipments Bring packages to shipping, Mail, and Courier as needed Assist with answering shipping and delivery door and inventory order Receipt and appropriate storage of box order Learn functions related to commercial co

Manage administrative intake of members Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and / or providers Process incoming and outgoing referrals, and prior authorizations, including intake, notification, and census roles Assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review Handle resolution /

Enter prescriptions and verify appropriate and accurate information Contact patients, pharmacists and doctor's offices to resolve claims issues Process prescriptions (from intake to order completion) Resolve customer issues; ensuring accurate information is provided You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what

include Suturing Splinting Initial interpretation with digital X Rays Incisions and drainage What makes an OptumCare organization different? Providers are supported to practice at the peak of their license Patients are treated like family. We focus on helping patients get in, get healthy, and get back to what's really important We are influencing change on a national scale while still maintainin

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 and is properly charged for

Assess and interpret customer needs and requirements Identify solutions to non standard requests and problems Solve moderately complex problems and/or conduct moderately complex analyses Work with minimal guidance; seek guidance on only the most complex tasks Translate concepts into practice Provide explanations and information to others on difficult issues Coach, provide feedback, and guide other