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The NP or PA is expected to be able to provide care consistent with their licensure and/or certification Diagnoses and treats both acute and chronic conditions such as diabetes, hypertension, kidney disease and other chronic medical conditions. The NP or PA will also treat acute conditions such as minor injuries and other acute medical conditions such as infections or exa
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Assess and interpret customer needs and requirements Review cases and analyze clinical information in conjunction with Medical Directors to determine the appropriateness of hospitalization Perform Clinician to Physician interaction to acquire additional clinical information or discuss alternatives to current treatment plans Escalate cases to the Medical Director for case
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Conduct in home assessments on health plan members. Average visit is 45 60 minutes in length. Assessment is performed and completed electronically. HouseCalls Assessment includes Past medical history Review of systems Physical examination Medication review Depression screening Checking vitals, conducting a physical exam that includes monofilament test, urine dipstick, and
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Schedule and triage appointment requests for urgency according to approved protocols consistent with ProHealth's Appointment and Scheduling Guidelines. Consult a medical assistant or licensed clinician for clinical decision making whenever necessary Use call processing and other applicable functionality in the EHR to take messages and communicate with clinicians Greet pat
Posted Today
Conduct in home assessments on health plan members. Average visit is 45 60 minutes in length. Assessment is performed and completed electronically. HouseCalls Assessment includes Past medical history Review of systems Physical examination Medication review Depression screening Checking vitals, conducting a physical exam that includes monofilament test, urine dipstick, and
Posted Today
Conduct in home assessments on health plan members, including past medical history, review of symptoms, physical examination, medication review and depression screening Responsible for checking vitals, conducting a physical exam that includes monofilament test, urine dipstick and foot exam (as appropriate) Identify diagnoses to be used in care management and active medica
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Development of data queries and extracts necessary for population health and network analytics data science initiatives Interpret and analyze clinical data from various sources and recommend best approaches Investigate key business problems through quantitative analyses of healthcare utilization and cost data Provide analysis and summarize claims, provider, and membership
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Provide oversight of functional supervisory staff for all operational teams that are part of the Provider Network Management (PNM) department Provide strategic and operational management of LHI Provider Network Operations Manage, mentor, and evaluate staff with a focus on provider and practitioner quality, provider pricing, compliance with network requirements, department
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Develop, perform and manage the analyses of business and financial metrics as well as performance measures Develop and maintain financial reports to clearly communicate actual results, forecasted performance, and variances to plan, forecast and budget Track and reconcile provider receivables Prepare weekly, monthly, and annual financial reporting for state customer Work c
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Performs preventative maintenance, inspections, and repairs electrical and mechanical equipment, devices and components Troubleshoots, routinely inspect equipment and electro pneumatic control as necessary on automated equipment Installs new equipment including electrical, mechanical, pneumatic, and computer systems Mechanical expertise to include, but not limited to prec
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Under general supervision, the Administrative Operations Assistant provides telephone, front desk reception duties, administrative support, and meeting coordination to the corporate offices. In addition, the Administrative Operations Assistant provides direct support to end users on a variety of issues, such as identifying, researching, and resolving facilities problems a
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Lead discussions with customers to understand business requirements, data needs and reporting needs Help gather requirements and create BRDs Communicate project progress to stakeholders and business leaders at every step of the project Ability to work across cross functional teams to identify business, data and reporting needs and assist where needed Support short and lon
Posted Today
Conduct in home assessments on health plan members. Average visit is 45 60 minutes in length. Assessment is performed and completed electronically. HouseCalls Assessment includes Past medical history Review of systems Medication review Evidence based practice screenings Checking vitals, conducting a physical exam that includes point of care testing (as appropriate) Identi
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Responsible for accurate and timely multi system data entry of provider contract information in accordance with departmental policies and procedures to include delegated providers Responsible for database entry and provider directory maintenance, assuring that all providers included are accurately reflected according to departmental policies and procedures Maintains a wor
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Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Com
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