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Adult Medicine Full-Time position in Cleveland, Ohio
4 weeks ago
$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.
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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