Nurse Practitioner Home Visits

4 days ago


Golden, Colorado, United States Home Base Medical Care Full time
Job Summary

Optum is seeking a skilled Nurse Practitioner to join our Home-Based Medical Care team in Jefferson County, CO. As a member of our integrated medical teams, you will provide high-end medical service, compassionate care, and industry-leading solutions to our most vulnerable patient populations.

Key Responsibilities
  • Provide medical care and management to members served by the program
  • Participate in gathering clinical information for medical necessity determinations for service requests
  • Collaborate with the Landmark Health Medical Director, Director of Health Services, Corporate Director of Health Services, and UM staff in the development and/or implementation of medical management policy, clinical protocols, utilization management guidelines, and quality management programs
  • Develop and implement care plans for members, including assessing their physical, mental, and social needs
  • Provide education and support to members and their caregivers on disease management and wellness
  • Collaborate with other healthcare professionals to ensure seamless care coordination and communication
Requirements
  • Completion of 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 about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems


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