Home-Based Care Specialist

3 days ago


Denver, Colorado, United States Optum Full time
Overview

Optum, a clinician-led care organization, is seeking an experienced Nurse Practitioner to join our Home-based Medical Care team in Denver, CO. As a member of our integrated medical teams, you will play a vital role in bringing high-end medical service and compassionate care to complex, chronic patients in the comfort of their own homes.

Salary & Benefits

The salary range for this role is $88,000 to $173,200 annually. In addition to a competitive salary, UnitedHealth Group offers a comprehensive benefits package, including health insurance, 401(k) matching, and incentive programs. Our benefits are designed to support your well-being and help you thrive in your career.

Job Description

This position requires a dedicated and skilled Nurse Practitioner to provide medical care and management to members served by the program. You will work closely with our interdisciplinary team to develop and implement individualized care plans that address the physical, mental, and social needs of our patients. Your expertise will be essential in gathering clinical information for medical necessity determinations and participating in quality improvement initiatives to ensure the highest standards of care.

Requirements
  • Completion of a Nurse Practitioner accredited program
  • Current state RN license
  • Current NP license
  • Knowledge of long-term care, community resources, and cost-effective alternatives
  • Knowledge of CPT, ICD-9, and HCPC codes
  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
Preferred Qualifications
  • 2+ years of clinical experience
  • Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems

We are an equal opportunity employer and welcome candidates from diverse backgrounds. If you are a motivated and compassionate healthcare professional looking to make a meaningful difference in the lives of our patients, we encourage you to apply for this exciting opportunity.


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