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Certification/Registration:Registered Nurse (RN), Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H) or Certified Radiology Cardiovascular Coding (CIRCC.
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In addition, the RN will outreach telephonically for Transition of Care following hospital discharge to complete reviews as well as assist with appointment scheduling. 4+ years of RN experience, including experience in a managed care setting.
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RN Senior Clinical Quality Consultant Compact Lics TelecommuteOpportunities at WellMed, part of the Optum family of businesses. The RN will be required to meet or exceed established productivity and quality metrics and work a flexible schedule to support the hours of operation of the business You'll enjoy the flexibility to work remotely.
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The RN will be required to meet or exceed established productivity and quality metrics and work a flexible schedule to support the hours of operation of the business. Assist patients with identification of and connectivity to community and program resources to assist with non-medical needs, (Pharmacy assistance programs, meals on wheels, LIS.
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Our team focuses on the design, execution, and delivery of telephonic and digital engagement strategies designed to close STARs measure gaps in care, e.g. medication adherence, care for older adults, medication reconciliation post discharge, A1c, etc.
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Complete patient assessments for Transition of Care Medication Reconciliation Post Discharge, Care for Older Adults Pain and Function Assessments. Strictly adheres to departments metrics and established advanced protocols and to handle incoming contacts including, but not limited to, prescription refill requests, lab results, x-ray results, medical inquiries, patient education and referral requests.
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We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Educate patients on health conditions and necessity of route screening but assisting with appointment scheduling (A1c, Breast Cancer Screening, Colorectal Cancer Screening, Diabetic Eye Exam, etc.
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The Registered Nurse will perform telephonic, patient-centered clinical consults focused on Care for Older Adults annual pain and functional assessments. Review available medical records for core measures to submit for closure of HEDIS/STARS measures.
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Communicate with providers and offices to obtain needed evidence of completed lab work, screenings and care provided. 2+ years of experience in HEDIS/Star programs, preferably in a clinical quality consultant role.
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Proven solid knowledge of the Medicare HEDIS/Stars measures. Must be able to review paper and electronic medical records and charts. Here, you will join a team who shares your passion for helping people achieve better health.
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In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements.
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All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The WellMed Quality Clinical Programs team supports WellMed Medical Management by delivering patient-centered, clinically collaborative telephonic outreach tohelp people live healthier lives.
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Opportunities at WellMed , part of the Optum family of businesses. Review patient chart (in EMR) to ensure core measures are being addressed and met per protocol and takes appropriate action when they are not, i.e., schedule services.
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No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.
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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 status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
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