Teams at High Desert Medical Group

Oversee day-to-day referral management and utilization review activities: gather medical records, verify eligibility/benefits, monitor clinical review timelines, communicate determinations, train staff, produce reports, monitor utilization patterns, ensure regulatory compliance (Medicare/Medicaid/managed care), provide phone coverage, and support process improvements and leadership as directed.

Provide direct patient care in a busy clinic: rooming/discharging patients, vitals, EKGs, medications/injections, blood draws, assist with procedures, patient education, maintain logs and supplies, perform home visits and evening/weekend clinics as needed.

Perform clinical audits and outreach calls to close care gaps and complete preventive services. Maintain and report on Star measures, enter orders, audit records for quality measures and HCC diagnoses, assist with RAD-V audits and scheduling, provide coding/measure training, ensure HIPAA compliance, and support clinic/IPA staff and projects.