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 coding, 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 and efficiency of the plan, making revisions as needed
- Utilize practice guidelines and protocols established by CCM
Care Coordination:
- Understand Payer/Plan benefits, CCM associate policies, and articulate them effectively to providers and members
- Assess medical necessity and effectiveness of ancillary services, determining the appropriate initiation of benefit events
- 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
Program Enhancement Expected Behaviors:
- Regular and effective communication with internal and external parties, including physicians, members, and key decision-makers
- Actively promote the CCM program in assigned facilities, 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
Requirements:
- Active and unrestricted license in the state of residence
- Certified Nurse Practitioner or Physician Assistant through a national board
- Graduate of an accredited master's degree in Nursing (MSN) program or Physician Assistant degree program
- Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations
- Ability to lift a 30-pound bag and navigate stairs and various dwelling conditions
- Availability to work 24 hours per month, with expectations that 16 of the 24 hours/month could be during off-hours
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 documentation of medical information with written and electronic medical records
Why Optum?
We're committed to creating a healthier atmosphere by promoting diversity and inclusion. As an equal employment opportunity/affirmative action employer, we welcome applicants from all backgrounds. Optum is a drug-free workplace, and candidates are required to pass a drug test before beginning employment.
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