Senior Care Specialist

2 weeks ago


Kew Gardens, New York, United States UnitedHealth Group Full time

Compensation: $42.31 to $83.27 per hour

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About UnitedHealth Group:

We are a leading health and wellness business, serving millions of Medicare and Medicaid patients. Our mission is to help people live healthier lives and make the health system work better for everyone.

Job Summary:

We are seeking an Advanced Practice Nurse (APN) to join our team as a Senior Care Specialist. As a Senior Care Specialist, you will provide care to Optum members and be responsible for the delivery of medical care services in a periodic or intermittent basis.

Responsibilities:

  • Provide primary care delivery, 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
  • Facilitate agreement and implementation of the member's plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physicians
  • Travel between care sites mandatory
  • Care Coordination: Understand the Payer/Plan benefits, CCM associate policies, procedures and articulate them effectively to providers, members and key decision-makers

Requirements:

  • Certified Nurse Practitioner through a national board
  • Active and unrestricted license in the state which you reside
  • Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
  • Availability to work 24 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 960 hours in a calendar year


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