Nurse Practitioner or Physician Assistant
2 weeks ago
Optum Home & Community Care is seeking a skilled Nurse Practitioner or Physician Assistant to join our team. As a key member of our Senior Community Care (SCC) product, you will work closely with a team to provide high-quality care to patients in their homes, nursing homes, and assisted living facilities.
Key Responsibilities
• 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
• Responsible for ensuring that all diagnoses are ICD10, coded accurately, and documented appropriately to support the diagnosis at that visit
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
Requirements
• Certified Nurse Practitioner through a national board
• Graduate of an accredited master's degree in Nursing (MSN) program and board certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC)
• Active and unrestricted license in the State of Connecticut
• Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
About Optum
Optum is a leading health and wellness business that serves millions of Medicare and Medicaid patients. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes. We are 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.
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