$5,000 Sign-on Bonus for External Candidates

 

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.

As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. May go into some private homes, group homes. This life-changing work adds a layer of support to improve access to care.

We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

Serving millions of Medicare and Medicaid patients, Optum is the nation's largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family of businesses. You have found the best place to advance your advanced practice nursing career. As an CCM Nurse Practitioner/ Physician Assistant per diem you will provide care to Optum members and be responsible for the delivery of medical care services in a periodic or intermittent basis.

Primary Responsibilities:

Primary Care DeliveryDeliver cost-effective, quality care to assigned membersManage both medical and behavioral, chronic and acute conditions effectively, and in collaboration with a physician or specialty providerPerform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulationsResponsible for ensuring that all diagnoses are ICD10, coded accurately, and documented appropriately to support the diagnosis at that visitThe APC is responsible for ensuring that all quality elements are addressed and documentedThe APC will do an initial medication review, annual medication review and a post-hospitalization medication reconciliationFacilitate agreement and implementation of the member's plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physiciansEvaluate the effectiveness, necessity and efficiency of the plan, making revisions as neededUtilizes practice guidelines and protocols established by CCMMust attend and complete all mandatory educational and Learnsource training requirementsTravel between care sites mandatoryCare CoordinationUnderstand the Payer/Plan benefits, CCM associate policies, procedures and articulate them effectively to providers, members and key decision-makersAssess the medical necessity/effectiveness of ancillary services to determine the appropriate initiation of benefit events and communicate the process to providers and appropriate team membersCoordinate care as members transition through different levels of care and care settingsMonitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions changeReview orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the member's needs and wishesEvaluate plan of care for cost effectiveness while meeting the needs of members, families and providers to decreases high costs, poor outcomes and unnecessary hospitalizationsProgram Enhancement Expected BehaviorsRegular and effective communication with internal and external parties including physicians, members, key decision-makers, nursing facilities, CCM staff and other provider groupsActively promote the CCM program in assigned facilities by partnering with key stakeholders (i.e.: internal sales function, provider relations, facility leader) to maintain and develop membership growth.Exhibit original thinking and creativity in the development of new and improved methods and approaches to concerns/issuesFunction independently and responsibly with minimal need for supervisionAbility to enter available hours into web based application, at least one month prior to available work timeDemonstrate initiative in achieving individual, team, and organizational goals and objectivesParticipate in CCM quality initiativesAvailability to check Optum email intermittently for required trainings, communications, and monthly scheduling

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Certified Nurse Practitioner or Physician Assistant through a national boardFor NPs: 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), Adult-Gerontology Acute Care Nurse Practitioners (AG AC NP), Adult/Family or Gerontology Nurse Practitioners (ACNP), with preferred certification as ANP, FNP, or GNPFor PAs: Graduate of an accredited Physician Assistant degree program and currently board certified by the National Commission on Certification of Physician Assistants (NCCPA)Active and unrestricted license in the state which you resideCurrent active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)Ability to gain a collaborative practice agreement, if applicable in your stateAbility to move a 30 pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurationsAccess to reliable transportation that will enable you to travel to client and / or patient sites within a designated areaMust have availability to work 24 hours per month, with expectations that 16 of the 24 hours/month could be during off-hours (after 5 pm, on weekends, and/or holidays)not to exceed 960 hours in a calendar year

Preferred Qualifications:

1+ years of hands-on post grad experience within Long Term CareUnderstanding of Geriatrics and Chronic IllnessUnderstanding of Advanced Illness and end of life discussionsProficient computer skills including the ability to document medical information with written and electronic medical recordsProven ability to develop and maintain positive customer relationshipsProven adaptability to change

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $43.22 to $77.21 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

 

 

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.