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Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behind Caring. Connecting. Growing together. The Sr. Practice Support Specialist (PSS) serves as a clinical liaison between contracted primary care practices and WellMed contracted clinical operations. This role is designed to drive value-based care performance and reduce avoidable utilization through proactive patient outreach, coordinated clinical interventions, and improved provider engagement. The PSS supports practices in managing high-risk patients and implementing population health strategies aligned with organizational priorities. This role reports to the Provider Relations Leader and works in a matrixed leadership environment. Clinical activities will occur under the direction of the WellMed Senior Medical Director and in accordance with Company protocols, established nursing practice standards, and the relevant state regulatory requirements. The role is field-based with an expected travel requirement of 75-85% to contracted provider offices. Primary Responsibilities: Care & Value Optimization • Manage patient census across assigned practices, focusing on high-risk and high-cost cohorts, • Monitor and influence key utilization metrics: ER visits, Admits/K, Readmits/K, SNF/ASC/hospital usage, and palliative care engagement, • Serve as a liaison between PCPs, hospitalists, specialists, and care management programs to ensure coordinated care delivery, • Support practices in implementing contingency plans for high-risk patients (HF, COPD), including documentation of advanced directives and care bundle elements, • Conduct weekly touchpoints with the medical director dyad partner to review admissions and determine escalations to contracted providers, • In partnership with PBM and Medical Director team, analyze utilization and performance data to identify trends and root causes, • Develop action plans aligned with market goals (quality, cost, coding), • Ensure monthly visits for Band 5 and other high-risk cohorts per prioritization list, • Facilitate timely follow-up for hospital discharges and transitions of care, • Conduct weekly 'tuck-in calls' to high-risk members, • Provide education on 'call us first', • Support referral management aligned with preferred specialist strategy, • Provide education and baseline support for risk adjustment documentation before coder SME engagement, • Drive timely closure of care gaps (medication adherence, preventive screenings, HEDIS/STAR measures), • Assist practices in understanding and applying QRA strategies 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 interested in. Required Qualifications: • Associates Degree in Nursing, • Current, unrestricted RN license required, specific to the state of employment or able to obtain compact license within 30 days of hire, • 4+ years in any combination of provider relations, network management, • Experience with Medicare Advantage, HEDIS, STAR, CMS reimbursement models, risk adjustment, • Proven solid analytics, communication, relationship-building, and proficiency in Microsoft Office, • Ability to travel extensively (up to 75-85%), • Driver's License and access to reliable transportation Preferred Qualifications: • Bachelor's degree in Business or Healthcare Administration, • CPC Certification, • Experience in value-based care or population health management, care management, and/or clinical operations Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Documenting daily staffing, operational, and administrative records; maintaining compliance with governmental policies and procedures. RN licensure in the state of employment required.

If you’re an RN looking for a role where you can practice nursing with focus, purpose, and support, this position was designed with you in mind. Medical, Dental, and Vision Insurance. Easy-to-use Employee Portal that puts you in control, request shifts that fit your schedule and preferences, earn

Offering a full spectrum of maternal and fetal medicine services, including an array of fetal diagnostic procedures and highly specialized fetal surgeries, the Pavilion for Women is connected to Texas Children's Hospital via a two-story circular sky bridge to enhance patient care by providing physic

If you’re an RN looking for a role where you can practice nursing with focus, purpose, and support, this position was designed with you in mind. Medical, Dental, and Vision Insurance. Easy-to-use Employee Portal that puts you in control, request shifts that fit your schedule and preferences, earn

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Current, active Texas RN license. Registered Nurse (RN) – Pediatric Home Health. If you’re an RN looking for a role where you can practice nursing with focus, purpose, and support, this position was designed with you in mind.

Texas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children's Pavilion for Women,

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Serve as the primary point of contact for internal staff, clients, external partners, and community stakeholders. This role ensures smooth program functioning by managing workflow, coordinating client services, supporting attorneys and program managers, overseeing document and case management proces

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Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. BLS required RN License in state of employment or compact. Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.

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Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. BLS required RN License in state of employment or compact. Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.

CSI Companies is seeking an experienced Professional Fee (ProFee) Coder with a strong background in Mental Health and/or Primary Care coding. This opportunity is ideal for certified Professional Fee coders with hands-on experience in mental health and/or primary care who are confident navigating E/M

Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. RN License in state of employment or compact. All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.

Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. RN License in state of employment or compact. All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.

Top 5 Best Digital Cities” (Center for Digital Government). Career Development: Participate in continuous learning and development opportunities to advance your career. Click Apply Now to learn more about this opportunity at UVA Health.

Assess learning needs and provides education to patients, family members and/or care givers;. RN License in state of employment or compact. All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.

Assignments in Navy hospitals and clinics, aboard aircraft carriers and other ships, with Marine units in garrison and field environments, and occasionally on submarines; work in exam rooms, wards, operating rooms, emergency departments, aid stations, and field medical sites; close integration with

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Assess learning needs and provides education to patients, family members and/or care givers;. RN License in state of employment or compact. All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.

Documenting daily staffing, operational, and administrative records; maintaining compliance with governmental policies and procedures. RN licensure in the state of employment required.

RN License in state of employment or compact. All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. All newly licensed RNs may participate in a residency program or other specific orientation.

Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. Th

Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. RN License in state of employment or compact. Additionally, the RN will be responsible for managing tracheostomy (trach) care with ventilator support and addressing other respi