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Conduct medical necessity reviews of cases referred by case management to ensure medical necessity and regulatory requirements are met for level of care Meet with case management, social work, and other healthcare team members to discuss selected cases and make recommendations regarding patient status Interact with medical staff and medical directors of third party payers to discuss the needs of p
Posted 1 day ago
Conduct medical necessity reviews of cases referred by case management to ensure medical necessity and regulatory requirements are met for level of care Meet with case management, social work, and other healthcare team members to discuss selected cases and make recommendations regarding patient status Interact with medical staff and medical directors of third party payers to discuss the needs of p
Posted 1 day ago
Here's the thing about challenges. They provide limitless opportunities for greatness. And what we have in mind for you is definitely big. At UnitedHealth Group, we're changing the future of health care and we have the expertise, advanced technology and global resources to make it happen. As a Senior Business Analyst, you'll work with the brightest minds in the business and find yourself digging d
Posted 1 day ago
Conduct medical necessity reviews of cases referred by case management to ensure medical necessity and regulatory requirements are met for level of care Meet with case management, social work, and other healthcare team members to discuss selected cases and make recommendations regarding patient status Interact with medical staff and medical directors of third party payers to discuss the needs of p
Posted 1 day ago
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
Posted 3 days ago
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm) Primary Responsibilities Assists with execution of the daily activities of the Care Delivery Organizations Provides support and assists all markets within Care Delivery on various coding in
Posted 1 day ago
Join Rally Health as a Senior or Principal Back End Engineer where you will build a platform that's at the forefront of all Rally products. The platform provides product authorizations for the entire Rally Ecosystem to provide a seamless experience to users at they move across their healthcare journey. As part of the Core Eligibility Team, you will report to an Engineering Manager and work with va
Posted Today
The Medical Director is responsible for providing clinical leadership to both internal and external clients. The Medical Director is accountable for establishing utilization and quality outcomes for all Transplant related services. They will collaborate with the Product, Quality and Case Management teams to establish and implement clinical programs in support of Care Management goals. You'll enjoy
Posted 1 day ago
Assisting in the review of medical records to highlight opportunities for the medical staff Locate medical screening results/documentation to ensure the closure of gaps in care/suspect medical conditions. Will not conduct any evaluation or interpretation of Clinical data and will be supervised by licensed and/or certified staff Activities may include data collection, data entry, quality monitoring
Posted 1 day ago
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 insuran
Posted 1 day ago
Complete provider orders per state and provider regulations Perform accurate X rays as ordered by the provider while practicing radiation safety precautions to include ALARA Prepare and transmit images to the radiologist for over read, and report over read results to providers Retrieve and archive radiographic reports Create/Burn CD's in compliance with HIPAA regulations Perform detailed and accur
Posted 1 day ago
Turn onthe news on any night of the week and you're likely to hear about the changesthat are sweeping through our health care system. It's dramatic. It's positive.And it's being led by companies like UnitedHealthGroup . Now, you can take advantage of some of the best training and toolsin the world to help serve our existing and new customers. As a senior memberof our Advocate4Me team, you'll provi
Posted 1 day ago
Opportunities with Diplomat, now a part of Optum, a UnitedHealth Group company. Bring your passion to Diplomat and join a family of brands rooted in specialty pharmacy services since 1975. Diplomat Specialty Infusion Group delivers high touch infusion treatments nationwide, and Diplomat Specialty Pharmacy serves patients who face complex and often rare conditions. We're now part of OptumRx and the
Posted 1 day ago
Turn on the news on any night of the week and you're likely to hear about the changes that are sweeping through our health care system. It's dramatic. It's positive. And it's being led by companies like UnitedHealth Group . Now, you can take advantage of some of the best training and tools in the world to help serve our existing and new customers. As a senior member of our Advocate4Me team, you'll
Posted 1 day ago
Having energized and friendly front office assistants is essential to delivering quality care and creating success in our centers. As a front office assistant , you will be responsible for greeting patients, activating patient files, and providing support to medical staff. If you're a team player with a warm and welcoming attitude, excellent interpersonal skills, and the ability to multi task, we'
Posted 1 day ago
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