Come join our Primary Care team at Optum where we believe in providing quality of life to our clinicians. We offer excellent work life balance with no pager, no call, no weekends. We are looking for a Nurse Practitioner in our Van Nuys, CA office. This is an excellent position to further your professional growth. Position Details Clinic Location 14600 Sherman Way, Van Nuy

Come join our Primary Care team at Optum where we believe in providing quality of life to our clinicians. We offer excellent work life balance with no pager, no call, no weekends. We are looking for a Physician Assistant in our Van Nuys, CA office. This is an excellent position to further your professional growth. Position Details Clinic Location 14600 Sherman Way, Van Nu

Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit determinations Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation Data gathering requires navigation through multiple system applications Staff may be required to contact the prov

This position is for a Clinical Pharmacist working in the Pharmacy Utilization Management team. Collaborates with the coordinators and nurses to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed to perform clinical assessments and reviews as per the health plan/employer agreed criteria within the designated s

Assist in efforts to enhance ease of use of physician portal and future services enhancements Assist providers and members with basic inquiries about claims, authorizations, benefits, and other issues Fostering and maintaining proactive, positive relations throughout the provider network by communicating with provider offices through face to face visits, emails, telephone

Interact with participants to create a welcoming atmosphere Ensure activities are scheduled to meet the physical, intellectual, social, and emotional needs of participants Lead activities and classes as needed Motivate clients Maintain safe environment You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direc

Manage the evaluation of payer proposals related to Fee For Service (FFS), capitation arrangements and value based contracts Partner with the payer contracting team to manage the modeling and negotiation process, evaluate proposals, and provide guidance to senior leadership on the financial impact and viability of the contract Work closely with the Finance and Actuarial t

Delivers high quality patient care through face to face, telephone, and electronic contact for examination, treatment, monitoring, and preparation for diagnostic tests or procedures Collects and documents patient information, including vital signs, chief complaints, review of medications, allergies, health risk screen information, the status of extended care benefits, and

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

Optum Clinic Locations All of the lower San Gabriel Valley, Los Angeles area Complete senior wellness visits at company owned outpatient facilities and independently contracted physician offices, as well as some home/custodial visits Schedule Monday Friday Average Daily Patient Census Up to 16 patients per day (10 12 patients per day on average) We will consider and train

Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. The

Optum Clinic Locations All of the lower San Gabriel Valley, Los Angeles area Complete senior wellness visits at company owned outpatient facilities and independently contracted physician offices, as well as some home/custodial visits Schedule Monday Friday Average Daily Patient Census Up to 16 patients per day (10 12 patients per day on average) We will consider and train

Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. The

Assist in end to end provider claims and help enhance call quality Coach, provide feedback and guide others Assist in efforts to enhance ease of use of physician portal and future services enhancements Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers Help implement traini

Assesses and evaluate patient vitals and care needs. Suggests solutions to patient care problems & complaints Identifies & recommends solutions to departmental problems Assists in assessing departmental function and productivity & recommends changes as necessary Assesses patient/family learning needs and coordinates and carries out treatment plan Starting IVs and accessin