Nurse Practitioner Home Visits Opportunity

2 weeks ago


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

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 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
  • Collaborate with the Landmark Health Medical Director, Director of Health Services, and UM staff in the development and implementation of medical management policy, clinical protocols, and quality management programs

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

Preferred Qualifications:

  • 2+ years of clinical experience
  • Awareness about 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.



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