Conduct comprehensive assessments Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions Manage members during a short term sub acute rehabilitation episode Ensure accurate and complete documentation, including ICD 10 conditions Communicate and collaborate with the interdisciplinary care t

Posts patient and insurance payments to the correct account within the prescribed timeframe with a 95% or higher accuracy rate. Analyzes and resolves accounts where underpayments, overpayments or non payments have occurred. Completes adjustments for denials or non covered services Research needed to recover remits not received Balances payments and direct deposits Maintai

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

Make patient assessments in home setting and determining appropriate levels of behavioral care needed Obtain information from providers on outpatient requests for treatment Determine if additional clinical treatment sessions are needed Manage behavioral health cases throughout the entire treatment plan Administer benefits and review treatment plans in collaboration with i

Compliance with all coding and documentation requirements Practice evidence based medicine Outpatient Establishes and maintains effective relationships with members, facility staff, and other collaborating physicians/providers Completes follow up and post hospital assessments according to documented standard operating procedure Participates in management meetings that inc

Conduct comprehensive assessments Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions Manage members during a short term sub acute rehabilitation episode Ensure accurate and complete documentation, including ICD 10 conditions Communicate and collaborate with the interdisciplinary care t

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Answers all calls by greeting patients appropriately and listening actively for patient issue Follow protocols as written for correctly recording and delivering messages Provide patients with information on expected outcome of call Verify patient information and record all call information within the EMR as per written protocols Schedule or cancel appointments as per pati

Provide care that is compassionate, appropriate, and effective for the treatment of dermatology care related health problems Compliance with all coding and documentation requirements Practice evidence based medicine Outpatient Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing Establishes and maintain

Provides exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to m

Provides exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to m

Provide exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to ma

Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants Establishes and maintains effective relationships with patients, care givers, and/or their legal representatives, IDT members, PCPs, other collaborating physicians/providers, and facility staff when applicable Performs an initi

By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Review targets for Length o

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