Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing Responds to urgent / unscheduled patient needs with the purpose of assessing acuity of illness and preventing hospitalization through interventions delivered in the home when medically indicated and desired by patient During the visit, promptly commun

Work with primary care physicians to provide the best care possible Collaborate with the nursing staff and the patients' families Collaboration with case management team Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role

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

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

Design, develop and implement analytics rules engines Research, evaluate, and deploy new tools, frameworks, and patterns to build sustainable Big Data platform Identify gaps and opportunities for improvement of existing solutions Define and develop APIs for integration with various data sources in the enterprise Analyze and define customer requirements Assist in defining

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

Work with primary care physicians to provide the best care possible Collaborate with the nursing staff and the patients' families Collaboration with case management team Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role

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

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

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

As new pharmacy clients are welcomed to OptumRx, the new client implementation team offers a best-in