Evaluates customer interactions in accordance with monitoring program guidelines. Conducts audits, identify trends, and provides feedback to reduce errors and improve processes and performance. Participates in weekly calibration sessions to ensure inter rater reliability. Presents quality program to new hire training classes. You'll be rewarded and recognized for your per

Pulls and scores monitored calls for staff in the department in accordance with monitoring program guidelines. Evaluates customer interactions in accordance with monitoring program guidelines. Conducts audits, identifies trends and provides feedback to reduce errors and improve processes and performance. Participates in and leads weekly calibration sessions to ensure inte

Applies knowledge/skills to basic, repeated activities Demonstrates minimum depth of knowledge and skills in own function Responds to standard requests Requires assistance in responding to non standard requests Solves routine problems by following established procedures Others prioritize and set deadlines for employee Reviews accounts including Explanation of Benefits (EO

A partner of the Optum Care network, WellMed Medical Group, is seeking a nurse practitioner or physician assistant to join one of our clinics in the Elam Area in Dallas, TX . At Optum, we are transforming healthcare nationally while providing Physician led care locally. Work with the largest care delivery organization in the world and start doing your life's best work.(sm

Performs all duties within the scope of a Medical Assistant's practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capil

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 ins

Performs all duties within the scope of a Medical Assistant's practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capil

P erf o r ms a ll nu r si n g duti e s w ithin the s c ope of a L i c e ns e d V o ca tion a l/P r a c ti ca l N u r se ( procedures, inj ec tions, m e di ca tion a dminist ra tion, EKG s, phl e boto m y ) a s d e t er min e d b y the a ppli ca ble St a te B o ar d o f N u r sin g P ar ti c ip a t e s in impl e m e nting e st a blish e d e du ca tion pl a ns f or p a ti e

Assisting in the review of medical records to highlight Star/HEDIS opportunities for the medical staff Review medical records for data collection, data entry, and quality monitoring including health plan/WellMed form submission and chart collection activities that close gaps in care Partner with the leadership team, the practice administrative or clinical staff to identif

Act as a Subject Matter Expert for other team members Manage the intake of members or the admission/discharge information post notification Work with hospitals, clinics, facilities and the clinical team to manage requests for services Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census

Suturing (some facial) Splinting Initial interpretation with digital X Rays Injections (MA may not be available) STD's Incisions and drainage Pediatric care 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'

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

****$1,500 Sign-On Bonus for External Candidates****

Conducts medical home visits on established Bridges in Complex Care patients performing a hands on exam at each visit Conducts urgent / acute visits on established Bridges in Complex Care patients with the goal of keeping the patient out of the hospital in order to receive the best medical care at home Provides ongoing assessments of the impact of life limiting chronic il

Completes telephonic outreach to DSNP/CSNP members utilizing multiple outreach modes including auto dialer, manual and inbound calls Educates member on gaps in care and assists with closure of gaps, including scheduling provider appointments Assists members with social determinants of health and links to community resources Ensures member has access to PCP Outreaches memb