Nurse Practitioner/Physician Assistant

3 hours ago


East Rochester, New York, United States Optum Full time
Optum Home & Community Care - A New Era in Healthcare

At Optum, we're revolutionizing the way healthcare is delivered. Our innovative approach combines cutting-edge technology with compassionate care to create a seamless health journey for patients across various care settings.

Job Summary

We're seeking a highly skilled Nurse Practitioner/Physician Assistant to join our Senior Community Care team. As a key member of our team, you'll provide exceptional care to patients in their homes, nursing homes, and assisted living facilities.

Responsibilities
  • Primary Care Delivery
    • Deliver high-quality, cost-effective care to assigned members
    • Manage medical and behavioral conditions effectively, collaborating with physicians and specialty providers
    • Conduct comprehensive assessments and document findings in a concise, compliant manner
    • Ensure accurate ICD-10 coding and documentation
    • Address quality elements and document accordingly
    • Perform initial medication reviews, annual medication reviews, and post-hospitalization medication reconciliations
    • Facilitate agreement and implementation of the member's plan of care
    • Evaluate the effectiveness, necessity, and efficiency of the plan, making revisions as needed
    • Utilize practice guidelines and protocols established by CCM
    • Attend and complete mandatory educational and LearnSource training requirements
    • Travel between care sites is mandatory
  • Care Coordination
    • Understand Payer/Plan benefits, CCM associate policies, and articulate them effectively to providers, members, and key decision-makers
    • Assess medical necessity and effectiveness of ancillary services to determine the appropriate initiation of benefit events
    • Coordinate care as members transition through different levels of care and care settings
    • Monitor the needs of members and families while facilitating adjustments to the plan of care
    • Review orders and interventions for appropriateness and response to treatment
    • Evaluate the plan of care for cost-effectiveness while meeting the needs of members, families, and providers
  • Program Enhancement Expected Behaviors
    • 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 developing new and improved methods and approaches to concerns/issues
    • Function independently and responsibly with minimal need for supervision
    • Ability to enter available hours into web-based applications, at least one month prior to available work time
    • Demonstrate initiative in achieving individual, team, and organizational goals and objectives
    • Participate in CCM quality initiatives
    • Availability to check Optum email intermittently for required trainings, communications, and monthly scheduling
Requirements
  • Certified Nurse Practitioner or Physician Assistant through a national board
  • Active and unrestricted license in the state of residence
  • 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 to travel to client and/or patient sites within a designated area
  • Ability to lift a 30-pound bag in and out of a car and navigate stairs and various 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
  • Ability to gain a collaborative practice agreement, if applicable in your state
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
  • Ability to develop and maintain positive customer relationships
  • Adaptability to change

We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution. At UnitedHealth Group, 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.



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