Senior Care Nurse Practitioner or Physician Associate
4 days ago
About Optum
Optum 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.
About the Role
We're seeking a Senior Care Nurse Practitioner or Physician Associate to join our team at Optum Home & Community Care. As a member of our Senior Community Care (SCC) product, you will 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. You will be part of a seamless health journey for patients across care settings. Our goal is to deliver cost-effective, quality care to assigned members while managing both medical and behavioral, chronic and acute conditions effectively.
Responsibilities
- Deliver comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations.
- Responsible for ensuring that all diagnoses are ICD10, coded accurately, and documented appropriately to support the diagnosis at that visit.
- Facilitate agreement and implementation of the member's plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physicians.
- Evaluate the effectiveness, necessity and efficiency of the plan, making revisions as needed.
- Utilizes practice guidelines and protocols established by CCM.
Care Coordination
- Understand the Payer/Plan benefits, CCM associate policies, procedures and articulate them effectively to providers, members and key decision-makers.
- Assess the medical necessity/effectiveness of ancillary services to determine the appropriate initiation of benefit events and communicate the process to providers and appropriate team members.
- Coordinate care as members transition through different levels of care and care settings.
- Monitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change.
Preferred Qualifications
- 1+ years of hands-on post grad experience within Long Term Care.
- Understanding of Geriatrics and Chronic Illness.
- Proficient computer skills including the ability to document medical information with written and electronic medical records.
Benefits and Requirements
We offer a competitive salary, estimated at $80,000 - $110,000 per year, depending on location and experience. This position requires a Certified Nurse Practitioner or Certified Physician Associate through a national board, along with an active and unrestricted license in the state where you reside. Additionally, you must have current active DEA licensure/prescriptive authority or the ability to obtain post-hire, per state regulations.
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