Interview patients in a hospital setting and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverage Complete applications for state and federal programs Review medical records and take all necessary actions to expedite benefit approval Adhere to company and legal standards regarding Protected Health Information (PHI), Personal

Provides mental, behavioral, and/or psychological treatment services or therapy directly to patients utilizing a variety of treatment methodologies Services/treatment/therapy may be provided in individual or group environments and may be provided virtually or in person Assists patients and their families to change behaviors and to locate and access interpersonal, family a

Provides mental, behavioral, and/or psychological treatment services or therapy directly to patients utilizing a variety of treatment methodologies Services/treatment/therapy may be provided in individual or group environments and may be provided virtually or in person Assists patients and their families to change behaviors and to locate and access interpersonal, family a

Establish and maintain positive clinical rapport with patients and their families, working closely with them in the provision of infusion therapy, education related to self care and self administration, and clinical monitoring of patient response to therapy Assess patient appropriateness for home infusion therapy, including safety of the home environment, availability of

Interview patients in a hospital setting and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverage Complete applications for state and federal programs Review medical records and take all necessary actions to expedite benefit approval Adhere to company and legal standards regarding Protected Health Information (PHI), Personal

Run the automated machinery required to pre sort and package medications, including filling exception trays with the appropriate medication and transitioning the different workflow stages from initial dispense through quality control Count and fill prescription vials and affix labels on bulk prescription items Pack and ship completed divvyPACKS, which includes printing an

Creates a great consumer and clinic partner experience and continually builds solid relationships with both groups to proactively meet their needs Serves as an expert to the clinical staff and proactively meets with their team on meeting their clinical outcomes Counsels and educates patients on the usage of medications, adverse effects, schedules and any personal question

Lead and motivate a team of Clinical Consultant Pharmacists to deliver results Provides mentoring / coaching for Clinical Consultants in order to enhance employee engagement, promote professional development and maintain high levels of staff satisfaction Assist in the recruitment, on boarding and mentoring of new Clinical Consultant team members Determine and manage clini

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

Distributes drugs prescribed by physicians and other health practitioners Provides information to customers about medications and their use Focuses on providing a superior level of customer service Ensures compliance with all relevant laws of the applicable State Board of Pharmacy Administration of immunizations as allowed by State Boards of Pharmacy Any other usual and c

Customer onboarding Prescription requests Entry, billing, and submittal of the customer's order to fulfillment for delivery assist with operations support, training, and process improvements Contribute to updating Standard Operating Procedures (SOPs) and team content Creation/ routing of pharmacy orders through receipt Review and verification of members'/patients' prescri

Prescription requests Creation/ routing of pharmacy orders through receipt Review and verification of members'/patients' prescriptions Prep and scan documents, verify member/patient data submit prescription orders in computer system May contact members/patients/providers to validate data, request payment information and establish priority of order or delivery details Gene

Care Coordination Assist the provider/team with various care coordination activities in the nursing home and/or assisted living community (AL) RN works in collaboration with the nursing facilities/AL community to assist in coordinating transportation when appropriate Benefit Determination Assist the provider/team with benefit determination associated with Medicare part A,

Creates a great consumer and clinic partner experience and continually builds strong relationships with both groups to proactively meet their needs Serves as an expert to the clinical staff and proactively meets with their team on meeting their clinical outcomes Counsels and educates patients on the usage of medications, adverse effects, schedules and any personal questio

Follow up of outstanding A/R all payers and/or including self pay and/or including resolution of denials Ability to research and resolve accounts appearing on Delinquent Insurance Report, Collection Ledger and Government Payor report as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement Oversee workflow of the team to en