Nurse Practitioner or Physician Assistant
2 days ago
We are seeking a highly skilled Nurse Practitioner or Physician Assistant to join our team at OptumCare in Bronx. As a member of our interdisciplinary team, you will play a critical role in delivering high-quality, patient-centered care to our members.
Key Responsibilities- Practice as a provider member within the HBMC interdisciplinary team, delivering home-based medical care to a population within an assigned geography.
- Collaborate with PCPs, HBMC interdisciplinary teammates, and consultants to develop and carry out patients' goals of care in all phases of the patient journey.
- Establish and maintain effective relationships with members and their legal representatives, facility staff, PCPs, and other collaborating physicians/providers.
- Perform initial comprehensive assessments, develop member management care plans, and update them as needed.
- Meet with members and/or their legal representatives to review newly developed or modified care plans, involving PCPs in these meetings.
- Complete follow-up and post-hospital assessments according to documented standard operating procedure.
- Prescribe appropriate diagnostics and interventions to avoid unnecessary transfers/acute admissions.
- Consult with hospital physicians following notification of member transfer.
- Collaborate with UM staff and PCPs/facility staff to enable medical necessity determinations for requested medical services.
- Educate members and/or their legal representatives in disease processes affecting members and ways to manage them effectively, as well as to promote wellness.
- Provide counsel, support, and education to facility staff.
- Support FCMs in developing and providing in-service educational programs to facility staff.
- Participate in management meetings, including weekly case conference reviews, monthly staff meetings, and quarterly Quality Improvement Committee meetings.
- Implement HEDIS measure campaigns and other quality initiatives as directed by Corporate Health Services to ensure the highest standards of care and to promote the improvement of care management and delivery.
- Be on-call for caseload during business hours and participate in clinical on-call program as plan expands.
- Keep current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings, and journal reviews.
- Completion of Nurse Practitioner or Physician Assistant accredited program.
- Current state RN license if Nurse Practitioner.
- Current 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.
- Access to reliable transportation; if driving a vehicle, comply with all terms of the Landmark Motor Vehicle Safety policy.
- 2+ years of clinical experience.
- Knowledge of CPT, ICD-9, and HCPC codes.
- Knowledge of clinical standards of care.
- Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts, and benefit systems.
At OptumCare, we've found that putting clinicians at the center of care is the best way to improve lives. Our physician-led organization is one of the most dynamic and progressive health care organizations in the world, serving over 17 million people through more than 45,000 aligned physicians and 9,000 advanced practice clinicians.
You will find our team working in local clinics, surgery centers, and urgent care centers, within care models focused on managing risk, higher quality outcomes, and driving change through collaboration and innovation.
Learn more about our mission and values.
OptumCare 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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