Adult Medicine Full-Time position in Cleveland, Ohio

4 weeks ago

Cleveland, Ohio, United States Optum Full time

$10,000 Sign-on Bonus for External Candidates


Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care.

We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs – helping patients access and navigate care anytime and anywhere.


As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing.

This life-changing work adds a layer of support to improve access to care.

We're connecting care to create a seamless health journey for patients across care settings. Join us to start \*\*Caring. Connecting.

Primary Responsibilities:

  • Support the TeamMD home based primary care practice
  • Obtain and review medical history, conduct physical and psychosocial assessments, analyze and diagnose conditions and develop appropriate plan of care
  • Identify gaps in care, interpret diagnostic test and reports and refer appropriately
  • Identify risk factors and help mitigate barriers to access care and reduce risk
  • Develop interventions to assist members in attaining established goals of care
  • Evaluate member's progress in completion of goals of care and re - assess and assist in care management with members
  • Serves as a key resource on complex and / or critical issues
  • Solves complex problems and develops innovative solutions
  • Establishes and maintains communication and a trusting relationship with the member, family / authorized representative and primary caregiver and specialists
  • Discuss medical options / interventions with members / families to promote understanding and assist them in making informed decisions
  • Clarify member\'s cultural values that may impact health management / decisions
  • Identify prognosis / trajectory of chronic disease that may impact future member health decisions and conduct advanced care planning discussions
  • 100% travel in local market area to patient's homes for in home visits

Required Qualifications:

  • Active, unencumbered license to practice nursing in the state of assignment or ability to obtain
  • Nurse practitioner Certification from either the ANCC or AANP or ability to obtain
  • Basic Cardiac Life Support (BCLS) Certification, or ability to obtain
  • DEA License or the ability to obtain
  • Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area

Preferred Qualifications:

  • Geriatric or adult medicine specialty
  • 2+ years of NP experience in the home setting
  • Experience working with complex patient populations including multiple chronic diseases with diverse psychosocial backgrounds
  • Experience working in home health or in-home setting
  • Basic knowledge of computers and cell phones
  • Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial
  • Expectation for high quality focus on the clinical model for DSNP which includes Stars and accurate coding and documentation
  • Proven comfortable working independently in a home-visit setting
  • Proven effectively communicate with elderly and chronically ill patients and families
  • Proven excellent organizational skills with the ability to multi - task and manage schedule
  • Proven excellent collaboration skills and ability to communicate with care team and physicians
  • Bilingual or multilingual

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