Senior Community Care Nurse Practitioner/Physician Assistant
1 week ago
Unlock a Career in Senior Community Care
At Optum, we're revolutionizing healthcare by uniting industry-leading solutions to create an integrated care model that addresses an individual's physical, mental, and social needs. As a Senior Community Care Nurse Practitioner/Physician Assistant, you'll play a vital role in providing care to patients at home, in nursing homes, or assisted living facilities.
Key Responsibilities:
- Deliver high-quality, cost-effective care to assigned members
- Manage medical and behavioral conditions, collaborating with physicians and specialty providers
- Conduct comprehensive assessments and document findings in a concise, compliant manner
- Ensure accurate diagnoses and documentation, adhering to CMS regulations
- Facilitate agreement and implementation of the member's plan of care, engaging facility staff, families, and primary care physicians
- Evaluate the effectiveness, necessity, and efficiency of the plan, making revisions as needed
- Utilize practice guidelines and protocols established by CCM
- Attend and complete mandatory educational and training requirements
- Travel between care sites is mandatory
Care Coordination:
- Understand Payer/Plan benefits, CCM associate policies, and articulate them effectively to providers, members, and key decision-makers
- Assess medical necessity and effectiveness of ancillary services, determining the appropriate initiation of benefit events and communicating the process to providers and team members
- Coordinate care as members transition through different levels of care and care settings
- Monitor member needs and facilitate adjustments to the plan of care as situations and conditions change
- Review orders and interventions for appropriateness and response to treatment, identifying the most effective plan of care that aligns with member needs and wishes
Program Enhancement Expected Behaviors:
- Regular and effective communication with internal and external parties, including physicians, members, key decision-makers, nursing facilities, CCM staff, and other provider groups
- Actively promote the CCM program in assigned facilities by partnering with key stakeholders to maintain and develop membership growth
- Exhibit original thinking and creativity in developing new and improved methods and approaches to concerns/issues
- Function independently and responsibly with minimal need for supervision
- Ability to enter available hours into a web-based application, at least one month prior to available work time
- Demonstrate initiative in achieving individual, team, and organizational goals and objectives
- Participate in CCM quality initiatives
- Availability to check Optum email intermittently for required trainings, communications, and monthly scheduling
Requirements:
- Active and unrestricted license in the state where you reside
- Certified Nurse Practitioner or Physician Assistant through a national board
- Graduate of an accredited master's degree in Nursing (MSN) program and board certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC), Adult-Gerontology Acute Care Nurse Practitioners (AG AC NP), Adult/Family or Gerontology Nurse Practitioners (ACNP), with preferred certification as ANP, FNP, or GNP
- Graduate of an accredited Physician Assistant degree program and currently board certified by the National Commission on Certification of Physician Assistants (NCCPA)
- Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
- Ability to lift a 30-pound bag in and out of a car and navigate stairs and a variety of dwelling conditions and configurations
- Availability to work 24 hours per month, with expectations that 16 of the 24 hours/month could be during off-hours (after 5 pm, on weekends, and/or holidays)
- Not to exceed 960 hours in a calendar year
- Ability to gain a collaborative practice agreement, if applicable in your state
- Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
Preferred Qualifications:
- 1+ years of hands-on post-grad experience within Long Term Care
- Understanding of Geriatrics and Chronic Illness
- Understanding of Advanced Illness and end-of-life discussions
- Proficient computer skills, including the ability to document medical information with written and electronic medical records
- Proven ability to develop and maintain positive customer relationships
- Proven adaptability to change
New York Residents Only: The hourly range for this role is $42.31 to $83.27 per hour. Pay is based on several factors, including local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (all benefits are subject to eligibility requirements).
About Optum: 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.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
OptumCare is a drug-free workplace: Candidates are required to pass a drug test before beginning employment.
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