Maintain up to date knowledge of specific admission, registration, and pre registration requirements for all areas, including but not limited to Main Admitting, OP Registration, Maternity, and Rehabilitation Units Verify insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of

Monitoring Infrastructure, Apps and Jobs and validate overall environment health Acknowledge, validate, and correlate monitoring alerts Proactively monitor and trend component/application/product performance and degradation Identify impact and prioritize incidents based on LHI definition and guidelines Initiate and facilitate High Priority Incident Management War Rooms Ut

Supporting APC(s) with overall coordination of member care, at the direction of the APC Functioning as part of a collaborative team Data entry and member chart management for New members Post hospital visits Pre visit updates Health maintenance updates Stars Lab results Medication entry Obtaining medical records following hospitalizations and physician appointments Obtain

Supporting APC(s) with overall coordination of member care, at the direction of the APC Functioning as part of a collaborative team Data entry and member chart management for New members Post hospital visits Pre visit updates Health maintenance updates Stars Lab results Medication entry Obtaining medical records following hospitalizations and physician appointments Obtain

Gathers information from patient and enters into appropriate database. Seeks appropriate resources to resolve issues about the type, date or location of prescribed procedures Schedules patient procedures in a manner that most efficiently utilizes the patient's time and clinical resources. Coordinates and communicates schedules Assists with coordination of activities relat

Provides exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to m

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Greet patients Coordinate patient flow Assist patients with intake or admitting processes Collect co payments, co insurance, and deductibles You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interest

Support review and validation of internal/external deliverables related to federal risk adjustment and high cost risk pool programs Calculate and distribute risk scores for various group major medical products (ACA and non ACA) Ad hoc reporting and analysis needs Communicate with management regarding data explanations, findings, and recommended improvements You'll be rewa

Greet patients Coordinate patient flow Assist patients with intake or admitting processes Collect co payments, co insurance, and deductibles The pace is fast, so your ability to multi task is essential. You should also enjoy working with people and have the communication skills necessary to build strong relationships with our patients. You'll be rewarded and recognized fo

Execute and refine approaches to achieve optimal efficiency. Improve and mature sprint planning, utilization of CA Agile, Kanban process, retrospectives, closed loops, engineering mindset and DevOps Identify, design and implement enhancements that lead directly to process improvements. Either reducing or elimination of manual work and/or direct reduction of incidents or s

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Ensures compliance with Condition of Participation (CoP) discharge planning Identifies and escalates gaps/barriers related to inpatient and observation length of stay Assesses patients at high risk for readmission. Identifies root cause for readmission. Develops plan and collaborates with multidisciplinary team regarding discharge planning to next level of care Participat

Gathers information from patient and enters into appropriate database. Seeks appropriate resources to resolve issues about the type, date or location of prescribed procedures Schedules patient procedures in a manner that most efficiently utilizes the patient's time and clinical resources. Coordinates and communicates schedules Communicating with patients, participants and

Gathers information from patient and enters into appropriate database. Seeks appropriate resources to resolve issues about the type, date or location of prescribed procedures Schedules patient procedures in a manner that most efficiently utilizes the patient's time and clinical resources. Coordinates and communicates schedules Assists with coordination of activities relat