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 together. Position Details

Collect Quality data and/or information based on applicable standards, state/federal or other regulations, customer requests, internal requests, or project assignments Investigate Quality problems identified, collect additional information to close gaps identified, monitor changes through steady state Work cross functionally and coordinate with others internally or extern

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 together. Primary Responsib

$5,000 Sign On Bonus

As a part of Optum Care, the largest network of medical groups in the country, Reliant Medical Group is seeking a Pediatric Physician Assistants or Certified Pediatric Nurse Practitioners to join our team in Massachusetts . At Optum, we are transforming healthcare nationally while providing physician led care locally. Work with the largest care delivery organization in th

As a part of Optum, Reliant Medical Group is seeking an experienced Advanced Practice Clinician to join its growing care team in Holden or Leominster, Massachusetts. Qualified candidates must have a minimum of 1 year experience providing primary care in an out patient setting. As a leader in the team based care model, at Reliant we recognize that providers don't just

Conduct MS DRG and APR DRG coding reviews to verify the accuracy of DRG assignment and reimbursement with a focus on overpayment identification Expert knowledge of and the ability to identify the ICD 10 CM/PCS code assignment, appropriate code sequencing, present on admission (POA) assignment, and discharge disposition, in accordance with CMS requirements, ICD 10 Official

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 together. Locations Worcest

Primary Care Delivery Deliver cost effective, quality care to assigned members Manage both medical and behavioral, chronic and acute conditions effectively, and in collaboration with a physician or specialty provider Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Me

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 together. Utilizes independ

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 together. Positions in this

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 together. This position wil

Audit entire medical record for accuracy of the coding on the MMQ to support payment to the nursing facility Answer patient questions regarding care (medication, treatment) and benefits Discuss Patient Care specifics with peers or providers in overall patient care and benefits Leverage appropriate clinical terminology when communicating with physicians and other medical p

Obtain accurate and updated patient information, such as name, address, insurance information Perform insurance verification on the date of service Obtain patient signatures for required documents Upload a valid Government issued state ID of patient and patient insurance cards File and maintain medical records Consistently correct registration work queue errors Confirms a

Obtain accurate and updated patient information, such as name, address, insurance information Perform insurance verification on the date of service Obtain patient signatures for required documents Upload a valid Government issued state ID of patient and patient insurance cards File and maintain medical records Consistently correct registration work queue errors Confirms a