Medical Care Specialist

3 weeks ago


Ossining, New York, United States Optum Full time
Medical Care Specialist Opportunity

Optum is seeking a skilled Medical Care Specialist to join our Home-Based Medical Care team in North Metros, NY. As a member of our interdisciplinary team, you will play a vital role in delivering high-quality medical care to complex, chronic patients in the comfort of their own homes.

Key Responsibilities:
  • Develop and implement comprehensive care plans to address the physical, mental, and social needs of patients.
  • Collaborate with primary care physicians, facility staff, and other healthcare professionals to ensure seamless care coordination.
  • Conduct initial comprehensive assessments and bi-annual follow-ups to monitor patient progress and adjust care plans as needed.
  • Prescribe appropriate diagnostics and interventions to prevent unnecessary hospitalizations and transfers.
  • Participate in quality improvement initiatives and contribute to the development of in-service educational programs for facility staff.
Requirements:
  • Completion of a Nurse Practitioner or Physician Assistant accredited program.
  • Current state RN license (if Nurse Practitioner) and NP or PA license.
  • Certification through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC), or the National Commission on Certification of Physician Assistants (NCCPA).
  • Knowledge of long-term care, community resources, and cost-effective alternatives regarding patient care delivery systems.
Preferred Qualifications:
  • 2+ years of clinical experience.
  • Knowledge of CPT, ICD-9, and HCPC codes.
  • Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts, and benefit systems.

At Optum, we are committed to creating a seamless health journey for our patients across the care continuum. If you are a motivated and compassionate healthcare professional looking to make a meaningful difference in the lives of others, we encourage you to apply for this exciting opportunity.



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