Nurse Practitioner Home Visits Opportunity

4 weeks ago


Spokane, Washington, United States Optum Full time
Job Summary

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

Key Responsibilities
  • Perform comprehensive assessments on newly enrolled members and bi-annually thereafter
  • Develop and update member management care plans as needed
  • Collaborate with UM staff and PCPs/facility staff to enable medical necessity determinations for requested medical services
  • Prescribe appropriate diagnostics and interventions to avoid unnecessary transfers/acute admissions
  • Consult with hospital physicians following notification of member transfer
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
Preferred Qualifications
  • 2+ years of clinical experience
  • Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems
Work Environment

The noise level in the work environment is usually moderate.

Benefits

UnitedHealth Group offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. The salary range for this role is $88,000 to $173,200 annually.



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