Medical Care Specialist

4 weeks ago

Hartford, Connecticut, United States Optum Full time

Optum Home & Community Care is a leading provider of healthcare services, dedicated to delivering high-quality care to patients in their homes and communities. As a Medical Care Specialist, you will play a vital role in our team, working closely with patients, families, and healthcare providers to ensure seamless care transitions and optimal health outcomes.

Key Responsibilities:

  • Primary Care Delivery: Provide cost-effective, quality care to assigned members, managing both medical and behavioral, chronic and acute conditions effectively, and in collaboration with a physician or specialty provider.
  • Care Coordination: Understand the Payer/Plan benefits, CCM associate policies, procedures, and articulate them effectively to providers, members, and key decision-makers.
  • Program Enhancement: Regular and effective communication with internal and external parties, including physicians, members, key decision-makers, nursing facilities, CCM staff, and other provider groups.

Requirements:

  • Certified Nurse Practitioner through a national board.
  • Active and unrestricted license in the State of Connecticut.
  • Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice).
  • Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area.
  • Ability to lift a 30-pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations.

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.

About Optum:

At Optum, 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: Optum 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.

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