Nurse Practitioner Home Visits Specialist

2 weeks ago

Denver, Colorado, United States Optum Full time
Optum Home-Based Medical Care Nurse Practitioner

Optum is seeking a skilled Nurse Practitioner to join our Home-Based Medical Care team in Adams County, CO. As a member of our integrated medical team, you will play a vital role in delivering high-quality, patient-centered care to complex, chronic patients in the comfort of their own homes.

Key Responsibilities:
  • Provide comprehensive medical care and management to members served by the program
  • Collaborate with the Landmark Health Medical Director, Director of Health Services, and UM staff to develop and implement medical management policies and procedures
  • Work closely with PCPs and other healthcare professionals to develop members' goals of care and ensure seamless transitions across care settings
  • Conduct initial comprehensive assessments and bi-annual follow-up assessments to develop and update member management care plans
  • Prescribe appropriate diagnostics and interventions to avoid unnecessary transfers or acute admissions
  • Consult with hospital physicians following notification of member transfer
  • Participate in management meetings, including weekly case conference reviews, monthly staff meetings, and quarterly Quality Improvement Committee meetings
Requirements:
  • Completion of a Nurse Practitioner accredited program
  • Current state RN license
  • Current NP license
  • Knowledge of long-term care, community resources, and cost-effective alternatives regarding patient care delivery systems
  • Knowledge of CPT, ICD-9, and HCPC codes
  • Knowledge of clinical standards of care
  • Computer skills, including proficiency in Windows 2000 and MS Office Word Processing software
Preferred Qualifications:
  • 2+ years of clinical experience
  • Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems
Work Environment:

The noise level in the work environment is usually moderate.

Colorado Residents Only: The salary range for this role is $88,000 to $173,200 annually.

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