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Directly performs concurrent review Accurately identifies and documents level of care Coordinates, facilitates and documents comprehensive discharge planning Coordinates in network services for out of network discharges Ensures the appropriate utilization of in network, capitated and contracted specialists, providers, facilities, and vendors according to region and risk Attends daily inpatient rea
Posted 1 day ago
Directly performs concurrent review Accurately identifies and documents level of care Coordinates, facilitates and documents comprehensive discharge planning Coordinates in network services for out of network discharges Ensures the appropriate utilization of in network, capitated and contracted specialists, providers, facilities, and vendors according to region and risk Attends daily inpatient rea
Posted 1 day ago
Directly performs concurrent review Accurately identifies and documents level of care Coordinates, facilitates and documents comprehensive discharge planning Coordinates in network services for out of network discharges Ensures the appropriate utilization of in network, capitated and contracted specialists, providers, facilities, and vendors according to region and risk Attends daily inpatient rea
Posted 1 day ago
Directly performs concurrent review Accurately identifies and documents level of care Coordinates, facilitates and documents comprehensive discharge planning Coordinates in network services for out of network discharges Ensures the appropriate utilization of in network, capitated and contracted specialists, providers, facilities, and vendors according to region and risk Attends daily inpatient rea
Posted 1 day ago
Directly performs concurrent review Accurately identifies and documents level of care Coordinates, facilitates and documents comprehensive discharge planning Coordinates in network services for out of network discharges Ensures the appropriate utilization of in network, capitated and contracted specialists, providers, facilities, and vendors according to region and risk Attends daily inpatient rea
Posted 1 day ago
Welcome toone of the toughest and most fulfilling ways to help people, includingyourself. We offer the latest tools, most intensive training program in theindustry and nearly limitless opportunities for advancement. Join us and startdoing your life's best work. The PeoplesHealth Clinical Documentation Specialist will provide support to the Risk Score Management Division by reviewingmedical record
Posted 1 day ago
Travel up to 100% Conduct in home assessments on health plan members Identify diagnoses to be used in care management and active medical management Formulate a list of current and past medical conditions using clinical knowledge, judgment and current findings Communicate gaps in care to member's PCP Identify referral needs Identify urgent and emergent situations for proper intervention Educate mem
Posted 2 days ago
Travel up to 100% Conduct in home assessments on health plan members Identify diagnoses to be used in care management and active medical management Formulate a list of current and past medical conditions using clinical knowledge, judgment and current findings Communicate gaps in care to member's PCP Identify referral needs Identify urgent and emergent situations for proper intervention Educate mem
Posted 2 days ago
Travel up to 100% Conduct in home assessments on health plan members Identify diagnoses to be used in care management and active medical management Formulate a list of current and past medical conditions using clinical knowledge, judgment and current findings Communicate gaps in care to member's PCP Identify referral needs Identify urgent and emergent situations for proper intervention Educate mem
Posted 2 days ago
Performs nursing assessments and develops, implements and evaluates plans of care in conjunction with the physician, patient and caregivers per agency policy and procedure Evaluates the effectiveness of the plan of care, the patient's response to care and outcomes of care and revises the plan of care as needed Re evaluates patient nursing needs to include on going assessments using the OASIS data
Posted 2 days ago
Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm) As a Field Based Case Manager, you'll wear many hats, and work in a variety of environmen
Posted 2 days ago
At Optum, we share what might be seen as a surprisingly simple goal making the health system work better for everyone. We look for people who relentlessly push themselves to go farther. For these high performers, a position on a team at Optum, a business of UnitedHealth Group, is a natural fit. We offer more than the talent, resources and can do culture we offer a place to improve the lives of oth
Posted 2 days ago
Great sales are the result of strong purpose, conviction and pride pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.(sm) The purpose of the Agent Manager is to supervise Independent Agents (FMOs) who sell the UnitedHealth Group (UnitedHealth Group) portfolio
Posted 2 days ago
Design and implement an overall test strategy Lead in the evaluation of testing tools and strategies to support test strategy Deliver effective and efficient test methods (scenarios) Follow company's Agile/Scrum methodology Effectively document and communicate defects found during the product lifecycle Design and execute SQL queries for data validation and test execution Design and execute effecti
Posted 2 days ago
Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restl
Posted 2 days ago
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