The UR Authorization (Auth) Coordinator is the key position for reviewing admissions and utilization authorizations... and ensures timely review for acceptance/notification of denials. Ensures all coordination of care & authorizations...
Document Improvement Specialist - (CDS) is responsible for providing CDI program oversight and day to day CDI implementation... of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients...
outreach calls and public phone calls, review and triages correspondence, responds to e-mails regarding Medicare beneficiary... thorough research to understand patient's healthcare needs, healthcare utilization and best resources available by leveraging...
expertise, insight and support to clinical end-users, clinical sales specialist, sales team, Regulatory, Engineering, marketing... while managing logistics including KOL partnerships and post program feedback. Manage utilization of HCPs in accordance...
. Appropriately utilizes healthcare resources in the management of patients experiencing homelessness (specialist referrals, ED... referrals, lab utilization and medication management) with a goal of decreased fragmentation of healthcare. Maintains positive...