NP- Complex Care Specialist

2 days ago


Conshohocken, Pennsylvania, United States UnitedHealth Group Full time
Transforming Healthcare for Our Communities

At UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. We believe that everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances.

As a Complex Care Specialist with our Landmark Health team, you'll play a critical role in delivering high-quality, patient-centered care to individuals with complex medical needs. You'll work collaboratively with our interdisciplinary teams to develop and implement personalized care plans that address the unique needs of each patient.

Key Responsibilities:
  • Conduct comprehensive assessments of patients to identify their medical, social, and emotional needs
  • Develop and implement individualized care plans that address the patient's unique needs and goals
  • Collaborate with patients, families, and healthcare providers to ensure seamless care coordination
  • Provide education and support to patients and their families to promote health and wellness
  • Participate in quality improvement initiatives to enhance the quality of care and patient outcomes
Requirements:
  • Completion of a Nurse Practitioner or Physician Assistant accredited program
  • Licensure as a NP or PA-C in the state where you'll be practicing
  • Proven knowledge of long-term care, community resources, and cost-effective alternatives for patient care delivery systems
  • Proven knowledge of CPT, ICD-9, and HCPC codes
  • Proven knowledge of clinical standards of care
Preferred Qualifications:
  • 2+ years of clinical experience
  • Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems

We're committed to creating a diverse and inclusive work environment that reflects the communities we serve. If you're passionate about delivering high-quality care and making a difference in the lives of others, we encourage you to apply for this exciting opportunity.



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