Prepare examination rooms and sterilize medical equipment Room patients, obtain health history, check vital signs and perform EKG's Administer injections and collect specimens Document patient care using electronic medical record software Schedule appointments, complete prior authorizations, process medication refills, handle referrals, answer calls and complete paperwork

By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Review targets for Length o

A Home Care Physician Assistant or Nurse Practitioners conducts health assessments on enrolled Medicare Advantage members in their personal homes, assisted living facilities, group homes, and/or nursing homes many of whom are elderly, physically/mentally disabled, and/or homebound. A Home Care practitioner will complete visits on members within a specified geographic area

Direct and manage a complete continuum of high quality care within the care team. Treat acute diseases and disorders, minor injuries, minor, procedures, ortho/splinting, interpretation of digital X Ray's, physical examinations, and more. Reviews patient file/record, including allergies, problems, medications, and immunization status. Elicits and records information about

This Master File Maintenance Coordinator will be responsible for maintaining all of the Master Files including carrier files, control cards, BFE third party mnemonic definition, reject code edit file, billing in process (BIP), edit file menu, response code mapping, and claim development table Implement new carriers in the Quest Billing System (QBS) Actively participate in

Compounding sterile medications/products Following USP 797 and company policies for compounding and cleaning daily Packaging and pulling medications and supplies Assisting with stocking shelves Assisting with monthly inventory tasks This role is equally challenging and rewarding. It's a fast paced, high volume environment where our patients are counting on us to deliver t

Provides medical care and management to members served by the program and participates in gathering clinical information for medical necessity determinations for service requests. Works with the Landmark Health Medical Director, Director of Health Services, Corporate Director of Health Services, and UM staff in the development and/or implementation of medical management p

Primary Care Delivery Deliver cost effective, quality care to assigned members Manage both medical and behavioral, chronic and acute conditions effectively, and in collaboration with a physician or specialty provider Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Me

Oversees the activities of pharmacy technicians and pharmacy clerks Organizes workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with department program standards Performs all duties and functions in compliance with state and federal pharmacy laws and regulations Conforms with and supports department qu

Obtain accurate and updated patient information, such as name, address, insurance information Perform insurance verification on the date of service Obtain patient signatures for required documents Upload a valid Government issued state ID of patient and patient insurance cards Accurate and complete occupational medicine registration workflow File and maintain medical reco

Stay up to date with emerging technologies, frameworks, and industry trends related to payment systems and cloud computing Design and implement microservices based architecture using domain driven design principles Utilize Kubernetes for container orchestration and management, ensuring scalability, reliability, and high availability of the payment system Implement robust

By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Review targets for engageme

Care Coordination Assist the provider/team with various care coordination activities to support the role of the National On Call APCs Telephonic triage of incoming calls and voicemails to determine the correct level of care Responsible for collaborating with the nursing facility, APCs, and community members to identify and respond to changes in condition Assist the provid

Stay up to date with emerging technologies, frameworks, and industry trends related to payment systems and cloud computing Design and implement microservices based architecture using domain driven design principles. Utilize Kubernetes for container orchestration and management, ensuring scalability, reliability, and high availability of the payment system Implement robust

Develop and coordinate a clinical treatment program for the diagnosis, treatment, or referral of patients presenting moderate to severe social or mental behavior problems Involves patient and/or family in treatment planning as appropriate Conducts individual, family or group therapy sessions based on ethical and medical necessity guidelines. Option to develop and provide