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Obtain and review medical history, conduct physical and psychosocial assessments, analyze and diagnose conditions and develop appropriate plan of care Identify gaps in care, interpret diagnostic test and reports and refer appropriately Identify risk factors and help mitigate barriers to access care and reduce risk Develop interventions to assist members in attaining established goals of care Evalu
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Completes telephonic outreach to DSNP members utilizing auto dialer and manual dialing Educates member on gaps in care and assists with scheduling provider appointments Assists members with social determinants of health and links to community resources Ensures member has access to PCP Identifies gaps in care and assists in closure of gaps Outreaches members on caseload consistent with program guid
Posted Today
Perform initial review of consumer health records and current health status (e.g., health risk scores) to identify health risk and determine next steps Conduct initial and ongoing assessments utilizing nursing assessment skills in home setting Receive information from consumers about specific symptoms and questions Conduct interviews to understand cause and effect, gather or review health history
Posted Today
Creates and maintains successful relations with assisted living facility customers and potential customers by interacting professionally and pro actively Promotes strategic growth for the company by identifying leads and closing transactions, with a concentration on growing assisted living facility footprint, residential/group home consumer base, and other long term care facility residencies Atten
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Utilize the national sales model to generate leads and enroll beneficiaries into the UnitedHealthcare Nursing Home or Assisted Living Medicare Advantage plan Develop and manage account specific strategies to educate and engage facility personnel, resulting in the generation of interested residents and/or families (responsible parties) Utilize traditional sales strategies to uncover needs and intro
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Display proficiency and passion in describing the value of each BASE product offered Interact directly with customers and other Business Partners, brokers or agents through inbound/outbound phone conversations, virtual meetings or in person when necessary Conduct market presentations and trainings for prospective business Create and drive strategies for top producing agencies/brokers/Business Part
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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 caregiver support, and wil
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National Pharmacy Week Virtual Job Fair October 19th, 12 00 PM 4 00 PM EDT divvyDOSE is looking for individuals to join our team of pharmacy technicians working to improve the quality of life for our customers through innovative design and compassionate customer service. A unique opportunity for pharmacy technicians, we're looking for top tier talent to support our mission. divvyDOSE is a new kin
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Locate, outreach and engage members within the community that clinicians and care navigators have not been able to reach; create a positive experience and relationship with the member Assesses functional and social needs of members and collaborates to develop and implement solutions with the frequency established in the model of care Establish goals and a plan of care to meet identified functional
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Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims Analyze and identify trends and provide reports as necessary Consistently meet established productivity, schedule adherence and quality standards This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims, an
Posted Today
Perform initial review of consumer health records and current health status (e.g., health risk scores) to identify health risk and determine next steps Conduct initial and ongoing assessments utilizing nursing assessment skills in home setting Receive information from consumers about specific symptoms and questions Conduct interviews to understand cause and effect, gather or review health history
Posted Today
Serve as a SME in technology used to service clients and process claims, as well as be a liaison to our vendor software provider Successfully manage relationships with key clients Ensure onboarding is comprehensive and complete Manage banking applications and debit card set ups Identify and upsell additional products Manage and upload enrollment files for large employers Interact directly with cus
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Enter new plans into system Work with QA for any changes needed Create documents for new plans Update plan changes Update documents as needed Monitor Open Enrollment Monitor system change reports and update system Assist in other projects as needed, which could include emailing and/or calling current clients for updated info Assist with audits of information in all systems utilized This is a chall
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Travel up to 100% Conduct in home assessments on health plan members Identify diagnoses to be used in care management and active medical management Formulate a list of current and past medical conditions using clinical knowledge, judgment, and current findings Communicate gaps in care to member's PCP Identify referral needs Identify urgent and emergent situations for proper intervention Educate me
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s Make outbound calls to articulate the value proposition of divvyDOSE as their pharmacy Foster new business relationships through inbound lead follow up Collaborate with other staff to ensure divvyDOSE fulfills and exceeds customer needs Keep lines of communication open with Team Lead and other team members in an ever evolving start up environment Maintain detailed and accurate records between mu
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