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4 days ago
We are creating something new in healthcare at Optum Home & Community Care, part of the UnitedHealth Group family of businesses. Our goal is to unite industry-leading solutions to build an integrated care model that addresses an individual's physical, mental, and social needs.
Job SummaryWe are seeking a skilled Nurse Practitioner Physician Assistant to join our team as a per diem CCM Nurse Practitioner/Physician Assistant. In this role, you will provide care to Optum members and be responsible for the delivery of medical care services in a periodic or intermittent basis.
Key Responsibilities- Deliver cost-effective, quality care to assigned members
- Manage both medical and behavioral, chronic and acute conditions effectively, and in collaboration with a physician or specialty provider
- Perform 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
- 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
- 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 the development of new and improved methods and approaches to concerns/issues
- Function independently and responsibly with minimal need for supervision
- 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)
- Active and unrestricted license in the state in which you reside
- 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
- 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
- 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
- Ability to develop and maintain positive customer relationships
- Adaptability to change
UnitedHealth Group offers a comprehensive benefits package, including a competitive salary, incentive and recognition programs, equity stock purchase, and 401k contribution. We are an equal opportunity employer and welcome applications from diverse candidates.
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