Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, c

This is a remote position you may sit anywhere in the US Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a cul

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, c

$5,000 Sign on Bonus

$5,000 Sign-on Bonus

Perform the coordinator role through support of the annual chart retrieval and review process with provider groups and vendors Supports quality performance and productivity by assisting in DataRAP support tools Ensure consistent high quality communication is provided to vendors and clinical staff Adhere and stay abreast of changes to internal workflows, business rules, po

Taking inbound calls Over the phone, research and provide referrals to providers/agencies in Salt Lake County to Medicaid eligible consumers. Utilize a computer database to verify Medicaid eligibility. Offer additional information such as phone numbers or addresses to individuals who have contacted the wrong organization. Complete additional administrative tasks as assign

Reports to Clinical Services Manager Assess the health status of members as within the scope of licensure and with the frequency established in the model of care Establish goals to meet identified health care needs Plan, implement and evaluate responses to the plan of care Work collaboratively the multidisciplinary team to engage resources and strategies to address medica

63% Processes requisition, reviews approval authority, identifies and selects vendors for supplies or equipment that require extensive or specialized knowledge and experience. Issues purchase orders and performs complex problem solving in relation to these duties. Coordinates orders which may include researching and recommending options, vendor selection, working directly

Schedule appointments, complete prior authorizations, process medication refills, handle referrals and answer patient calls as needed Perform Clinical Intake with patients to include taking and recording vital signs and patient history Assist patients as needed with walking, transfer, specimen collection, exam preparation, etc. Maintain clinical supplies and equipment and

Primary Care Delivery Deliver cost effective, quality care to assigned members Manage both medical and behavioral, chronic and acute conditions effectively, and in collaboration with a physician or specialty provider Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Me

Create/Own Demand forecasts using statistical models and probabilities to achieve financial and service objectives for multiple lines of business (Optum Rx, Optum Insight, Optum Financial Services) and the business plans and their corresponding FTE counts including oversight and direction provided to the vendors Collaborate with Operations and Finance on the budgetary pro

Provides direct patient care as defined in the state Nurse Practice Act and agency's policies Implements plan of care initiated by the Registered Nurse Provides accurate and timely documentation consistent with the plan of care Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care Participates in the coordinat

Creates and executes Project plans and revises appropriately to meet changing requirements and needs. Plans and schedules Project timelines and milestones using the appropriate tools. Manages day to day operational and tactical activities of a Project. Develops and delivers Progress Reports, Proposals, Requirements Documentation and Presentations. Diagnoses task/procedura

Provide coding quality auditing services to ensure compliance with Optum and CMS coding guidelines and accuracy of coding data reported Maintain compliance with Optum Coding Guidelines/policies. The minimum productivity goal is set by project, with minimum 96% coding accuracy rate required You'll be rewarded and recognized for your performance in an environment that will