Nurse Practitioner Home Visits Specialist
5 days ago
We are seeking a skilled Nurse Practitioner to join our team in Brighton, CO. As a member of our Care Delivery team, you will play a critical role in providing high-quality medical care and management to our members.
Key Responsibilities- Provide comprehensive medical care and management to members, including initial assessments, bi-annual reviews, and follow-up visits.
- Develop and implement member management care plans, working closely with primary care physicians and other healthcare professionals.
- Collaborate with UM staff and PCPs to enable medical necessity determinations for requested medical services.
- Prescribe appropriate diagnostics and interventions to avoid unnecessary transfers or acute admissions.
- Consult with hospital physicians following notification of member transfer.
- 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 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.
- 2+ years of clinical experience.
- Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems.
The noise level in the work environment is usually moderate.
Colorado Residents Only: The salary range for Colorado residents is $88,000 to $173,200 annually. Pay is based on several factors, including education, work experience, certifications, and other qualifications. In addition to your salary, UnitedHealth Group offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (all benefits are subject to eligibility requirements).
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.
UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
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