Home Health Medical Care Specialist

2 days ago

Hartford, Connecticut, United States Optum Full time

$88,000 to $173,200 Annual Salary

Optum Home & Community Care is revolutionizing healthcare by integrating industry-leading solutions to create a comprehensive care model that addresses patients' physical, mental, and social needs.

We're seeking an experienced Home Health Medical Care Specialist to join our team in Hartford and Litchfield County, CT. As a member of our interdisciplinary team, you'll provide home-based medical care to complex, chronic patients, helping them access and navigate care anytime and anywhere.

This life-changing work gives older adults more days at home. Our commitment to patient-centered care has led us to develop innovative approaches to deliver seamless health journeys across various care settings.

As a Home Health Medical Care Specialist, you'll collaborate with primary care physicians, interdisciplinary teammates, and consultants to develop and execute patients' goals of care throughout their journey.

Key Responsibilities:

  • Conduct initial comprehensive assessments for new patients and provide ongoing care
  • Develop and update patient management care plans as needed
  • Meet with patients and their representatives to review care plans, involving primary care physicians when necessary
  • Perform basic procedures, including IV placement, blood draws, injections, and wound care
  • Prescribe diagnostics and interventions to prevent unnecessary hospitalizations
  • Complete follow-up and post-discharge assessments according to standard operating procedure
  • Consult with hospital and emergency teams upon patient transfers
  • Educate patients on disease management and promote wellness
  • Participate in ongoing meetings to ensure high-quality patient care and clinical excellence
  • Implement HEDIS measure campaigns and quality initiatives to improve care delivery
  • Be on-call for your caseload during business hours and participate in rotational after-hours calls
  • Stay current on medical research, technology, and issues through continuing education and professional development
  • Practice in accordance with state laws and regulations governing advanced practice nursing or physician assistants

You'll thrive in an environment that challenges you and provides clear direction on what it takes to succeed. Our organization offers opportunities for growth and development in various roles, ensuring your career advancement.

Required Qualifications:

  • Completion of a Nurse Practitioner or Physician Assistant accredited program
  • Current RN/NP or PA license in the state of Connecticut
  • Certification from the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC), or National Commission on Certification of Physician Assistants (NCCPA)
  • Access to reliable transportation; compliance with Optum's Motor Vehicle Safety policy

Preferred Qualifications:

  • 2+ years of clinical experience, preferably in primary care, home-based medical care, geriatrics, or palliative care
  • Knowledge of long-term care, community resources, and cost-effective alternatives
  • Familiarity with CPT, ICD-10, and HCPC codes
  • Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts, and benefit systems

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