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Nurse Practitioner Physician Assistant

2 months ago


Brooklyn, New York, United States UnitedHealth Group Full time
Job Title: Nurse Practitioner Physician Assistant

We are seeking a highly skilled and compassionate Nurse Practitioner Physician Assistant to join our team at UnitedHealth Group. As a key member of our healthcare team, you will provide high-quality patient care and work collaboratively with our healthcare professionals to deliver exceptional patient outcomes.

Job Summary:

The Nurse Practitioner Physician Assistant will be responsible for providing medical care services to our patients in a periodic or intermittent basis. This includes delivering cost-effective, quality care to assigned members, managing both medical and behavioral, chronic and acute conditions effectively, and collaborating with a physician or specialty provider.

Responsibilities:
  • Deliver comprehensive assessments and document findings in a concise and comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations.
  • Responsible for ensuring that all diagnoses are ICD10 coded accurately and documented appropriately to support the diagnosis at that visit.
  • Facilitate agreement and implementation of the member's plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physicians.
  • Evaluate the effectiveness, necessity, and efficiency of the plan, making revisions as needed.
  • Utilize practice guidelines and protocols established by CCM.
  • Must attend and complete all mandatory educational and LearnSource training requirements.
  • Travel between care sites is mandatory.
  • Care Coordination:
    • Understand the Payer/Plan benefits, CCM associate policies, procedures, and articulate them effectively to providers, members, and key decision-makers.
    • Assess the medical necessity/effectiveness of ancillary services to determine the appropriate initiation of benefit events and communicate the process to providers and appropriate team members.
    • Coordinate care as members transition through different levels of care and care settings.
    • Monitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change.
    • Review orders and interventions for appropriateness and response to treatment to identify the most effective plan of care that aligns with the member's needs and wishes.
    • Evaluate the plan of care for cost-effectiveness while meeting the needs of members, families, and providers to decrease high costs, poor outcomes, and unnecessary hospitalizations.
Requirements:
  • Certified Nurse Practitioner or Physician Assistant through a national board.
  • Graduate of an accredited master's degree in Nursing (MSN) program and board certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC), Adult-Gerontology Acute Care Nurse Practitioners (AG AC NP), Adult/Family or Gerontology Nurse Practitioners (ACNP), with preferred certification as ANP, FNP, or GNP.
  • Graduate of an accredited Physician Assistant degree program and currently board certified by the National Commission on Certification of Physician Assistants (NCCPA).
  • 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).
  • Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area.
  • Ability to lift a 30-pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations.
  • 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.
  • Ability to gain a collaborative practice agreement, if applicable in your state.
Preferred Qualifications:
  • 1+ years of hands-on post-grad experience within Long Term Care.
  • Understanding of Geriatrics and Chronic Illness.
  • Understanding of Advanced Illness and end of life discussions.
  • Proficient computer skills including the ability to document medical information with written and electronic medical records.
  • Ability to develop and maintain positive customer relationships.
  • Adaptability to change.
Benefits:

UnitedHealth Group offers a comprehensive benefits package, including a competitive salary, incentive and recognition programs, equity stock purchase, and 401k contribution. We are an equal opportunity employer and welcome applications from diverse candidates.