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Advanced Practice Nurse

2 months ago

Cranston, Rhode Island, United States UnitedHealth Group Full time
Job Summary

We are seeking a highly skilled Advanced Practice Nurse or Physician Assistant to join our team at UnitedHealth Group. As a key member of our Senior Community Care (SCC) product, you will play a vital role in providing high-quality care to patients in their homes, nursing homes, and assisted living facilities.

Key Responsibilities
  • Primary Care Delivery
    • 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
  • Care Coordination
    • 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
  • 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
    • 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
Requirements
  • Certified Nurse Practitioner through a national board
  • 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 a car and to navigate stairs and a variety of dwelling conditions and configurations
  • Availability to work 10 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 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
About UnitedHealth Group

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. 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: UnitedHealth Group 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.