Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability ...
Care Coordinators are registered nurses or licensed social workers who work directly with members to assess their physical, mental and social needs and facilitate services and communication across their care team to support their best interests and close gaps in care. One or more years of experience...
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability ...
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disabili...
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability ...
PASSION FOR CHRONIC DISEASE, DEVELOPING TRUSTFUL RELATIONSHIPS AND ADVOCATE FOR AMBULATORY CONTINIUM OF CARE. Provide and coordinate nursing care for the patient in collaboration with the Health Care team. Collaborates with managers in completing the process for self and colleague/team performance r...
Responsible for clinical teams (including operational teams, where integrated) performing one or more of the following activities: care review/utilization management (prior authorizations, inpatient/outpatient medical necessity, etc. Typically, through one or more direct report supervisors, facilita...
This includes: Contacting new enrollees to complete the initial assessment Reviewing current health needs, identifying goals, and developing individualized care plans and transitions of care Helping connect members with resources and services Completing required documentation Collaborating with medi...
You will perform retrospective clinical case reviews and draft appeals that focus on establishing the Medical Necessity of diagnosis in question by the payor or 3rd party audit firm. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant i...
Must be comfortable traveling to Medford Oregon, including Klamath Falls to Roseburg. In this role, you’ll work independently to make decisions and execute them for the best possible outcome for your patients, while feeling the impact you’re making every single day. Accredo, Evernorth Health Service...
The shift options for this position are the following: Wednesday-Saturday 10x4 schedule or Tuesday-Saturday 8x5 schedule The ability to work on a Saturday is a requirement for this role. Ability to work independently on several computer applications such as Microsoft Word and Excel, as well as corpo...
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services. Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan...
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability ...
Mission Statement: To provide superior quality healthcare services that: PATIENTS recommend to family and friends, PHYSICIANS prefer for their patients, PURCHASERS select for their clients, EMPLOYEES are proud of, and INVESTORS seek for long-term returns. All resumes submitted by search firms to any...
Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome. Coordinates as appropriate between the member and/or family/caregive...
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disabili...
Mission Statement: To provide superior quality healthcare services that: PATIENTS recommend to family and friends, PHYSICIANS prefer for their patients, PURCHASERS select for their clients, EMPLOYEES are proud of, and INVESTORS seek for long-term returns. All resumes submitted by search firms to any...
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. Ensures safe and app...
As a Government Solutions Autism Care Navigator reporting to a Clinical Steward, you will be a trusted go-to resource for beneficiaries in the Autism Care Demonstration. In this role, you will collaborate and oversee the assessment, planning, facilitation, care coordination, evaluation, and become a...
Responsible for clinical teams (including operational teams, where integrated) performing one or more of the following activities: care review/utilization management (prior authorizations, inpatient/outpatient medical necessity, etc. Typically, through one or more direct report supervisors, facilita...
Provide and coordinate nursing care for the patient in collaboration with the Health Care team. Collaborates with managers in completing the process for self and colleague/team performance reviews. Coordinate and facilitate Health Care services for the patient in other segments of the Health Care de...
Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome. Coordinates as appropriate between the member and/or family/caregive...
Mission Statement: To provide superior quality healthcare services that: PATIENTS recommend to family and friends, PHYSICIANS prefer for their patients, PURCHASERS select for their clients, EMPLOYEES are proud of, and INVESTORS seek for long-term returns. All resumes submitted by search firms to any...
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services. Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan...
Mission Statement: To provide superior quality healthcare services that: PATIENTS recommend to family and friends, PHYSICIANS prefer for their patients, PURCHASERS select for their clients, EMPLOYEES are proud of, and INVESTORS seek for long-term returns. All resumes submitted by search firms to any...