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Per Diem Nurse Practitioner

2 months ago

Ebensburg, Pennsylvania, United States Optum Full time
Job Summary

Optum Home and Community Care is seeking a Per Diem Nurse Practitioner to provide high-quality care to our patients in the comfort of their own homes. As a member of our Senior Community Care team, you will work collaboratively with healthcare professionals to deliver comprehensive care that addresses the physical, mental, and social needs of our patients.

Key Responsibilities
  • Deliver cost-effective, quality care to assigned members
  • Manage both medical and behavioral, chronic and acute conditions effectively, and in collaboration with a physician or specialty provider
  • Perform comprehensive assessments and document findings in a concise/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
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
Requirements
  • Certified Nurse Practitioner 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)
  • 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)
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

At Optum, we are committed to creating a healthier environment for our patients and our employees. We believe that diversity and inclusion are essential to achieving this goal, and we are proud to be an Equal Employment Opportunity/Affirmative Action employer.