Nurse Practitioner Home Visits Specialist

3 weeks ago


Brighton, United States Optum Full time
Optum Home-Based Medical Care Opportunity

We are seeking a skilled Nurse Practitioner to join our Home-Based Medical Care team in Adams County, CO. As a member of our integrated medical team, you will play a vital role in delivering high-quality, patient-centered care to complex, chronic patients in the comfort of their own homes.

Key Responsibilities:
  • Provide comprehensive medical care and management to members served by the program
  • Collaborate with the Landmark Health Medical Director, Director of Health Services, and UM staff to develop and implement medical management policies and protocols
  • Establish and maintain effective relationships with members, facility staff, PCPs, and other collaborating physicians/providers
  • Perform initial comprehensive assessments, develop member management care plans, and update them as needed
  • Prescribe appropriate diagnostics and interventions to avoid unnecessary transfers or acute admissions
  • Consult with hospital physicians following notification of member transfer
  • Collaborate with UM staff and PCPs/facility staff to enable medical necessity determinations for requested medical services
  • Educate members and/or their legal representatives in disease processes and ways to manage them effectively
  • Provide counsel, support, and education to facility staff
  • Support FCMs in developing and providing in-service educational programs to facility staff
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
  • 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
Preferred Qualifications:
  • 2+ years of clinical experience
  • Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems

We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. If you are a motivated and compassionate Nurse Practitioner 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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