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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
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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
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Deliver high quality patient care through face to face, telephone, and electronic contact for examination, treatment, monitoring, and preparation for diagnostic tests or procedures Collect and document patient information, including vital signs, chief complaint, review of medications, allergies, health risk screen information, the status of extended care benefits, and oth
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60% 70% Palliative Case Coordination/Consultation Participates in and/or leads iterative goals of care conversations with patients in various stages of serious illness, using advanced clinical communication and "whole person" approach. Care should be nuanced to disease trajectory and evolve based on disease progression; implement palliative care plans when appropriate Cre
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Conduct comprehensive assessments Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions Manage members during a short term sub acute rehabilitation episode Ensure accurate and complete documentation, including ICD 10 conditions Communicate and collaborate with the interdisciplinary care t
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Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system Document timely with an added focus on closing HEDIS quality gap m
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As a Landmark Advanced Practice Provider, you will Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system Document timely
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Collect, verify and prep documents for the scanning process per department procedure Scan, verify and uploading of documents into electronic health record Perform clerical duties such as maintaining retrieving or scanning of all records, files and documents of importance Confirm commitment of all documents to the electronic health records Answer phone and assist caller or
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Arrives to work on time or notifies Patient Care Manager or designee as soon as employee becomes aware that s/he will be absent or tardy, and/or as per individual department protocol Maintains an acceptable attendance record as per CareMount Medical policies and procedures Notifies Patient Care Manager or designee whenever leaving CareMount Medical premises during schedul
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Performs an initial comprehensive assessment on all newly enrolled patients and provides ongoing care thereafter. Develops a patient management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization. Meets with patients and/or their legal representatives to review newly developed or modified care plans; involves t
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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
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Optum
- Worcester, MA
improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well being as a team member. Join a team at the forefront of value based care and discover the meaning behind Caring. Connecting. Growing togethe r. Location 123 Sum
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Independently collaborates effectively with Interdisciplinary care team (ICT) to establish an individualized transition plan for members Independently serves as the clinical liaison with hospital, clinical and administrative staff as well as performs a review for clinical authorizations for inpatient care utilizing evidenced based criteria within our documentation system
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This is a traditional outpatient primary care medicine practice supporting patients from Seattle and its surrounding communities We offer a highly competitive compensation and benefits package with productivity and quality incentives Our sign on and retention bonus package goes up to $100,000 for highly qualified physicians The Role Outpatient Primary Care 18 20 patients
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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
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