General Practice Full-Time position in Allentown, Pennsylvania

4 weeks ago


Allentown, Pennsylvania, United States Optum Full time


$40,000 Student Loan Repayment or $20,000 Sign-on Bonus for individuals who have not previously participated in this program.


Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is innovating healthcare.


Primary Responsibilities:

  • Practices in alignment with state laws and regulations for advanced practice nursing
  • Complies with long-term care policies and procedures
  • Builds effective relationships with members, facility staff, PCPs, and collaborating physicians/providers
  • Conducts initial comprehensive assessments on newly enrolled members and bi-annually thereafter
  • Develops and updates member management care plans as needed
  • Completes follow-up assessments per standard operating procedure
  • Prescribes diagnostics and interventions to prevent unnecessary transfers/admissions
  • Collaborates with hospital physicians post member transfer
  • Works with UM staff and PCPs/facility staff for medical necessity determinations
  • Educates members on disease processes and wellness promotion
  • Provides support and education to facility staff
  • Assists FCMs in developing educational programs for facility staff
  • Participates in various management meetings and educational programs
  • Implements quality initiatives for care improvement
  • On-call duty during business hours and potential participation in clinical on-call program
  • Stays updated on medical/nursing research and technology
  • Performs necessary and assigned duties

Required Qualifications:

  • Completion of accredited program
  • Licensed as NP in state of practice
  • Knowledge of long-term care, community resources, and cost-effective patient care alternatives
  • Familiarity with medical codes, clinical standards, and transportation requirements

Preferred Qualifications:

  • 2+ years of clinical experience
  • Familiarity with UM standards, NCQA requirements, and Medicare/Medicaid contracts


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