PRIME CANDIDATE UNDER CONSIDERATION Essential Functions and Responsibilities of the Job: Provide history and physical as appropriate for each patient. Effectively identify, evaluate, and address acute health conditions as well as disease prevention and health promotion issues. Ability to perform many procedures, including wound closure, I&D, foreign body removal, slit lamp exam, etc. Maintains legible, accurate and confidential medical records. Documents all medical evaluations, diagnoses, procedures, treatments, outcomes, education, referrals and consultation. Refer, as necessary, certain medically necessary, non-emergent hospital and specialty services. Coordinate and direct appropriate care for member by means of an initial diagnosis and treatment, obtaining second opinions as necessary and consultation with contracted specialists. Follow-up on referrals made to specialists to assess the results of the care, medication regimen and special treatment and ensure continuous care. Establish procedures to contact members when they miss appointments, require re-scheduling for additional visits, or confirming referrals to a specialist for care. Coordinate member discharge planning and referrals for other services. Submit services with the usual and customary billed charges in a timely fashion. Responsible for a mental health assessment, ruling out mental disorders due to a general medical condition, ruling out substance related disorders and identifying general medical conditions that cause or exacerbate psychological symptoms. Document all mental health services provided to members in the medical chart, including referrals to out-of-plan mental health providers. Essential Job Outcomes: Provide high-quality patient care that is guided by protocols and standardized procedures. Able to multi-task and remain professional in a high-stress environment. Demonstrates excellent customer service skills.
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed