? 15h Left: Nurse Practitioner – Per Diem – Senior Care – Portland, ME – Optum Position Available In York, Maine

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Company:
Optum
Salary:
$133245
JobFull-timeOnsite

Job Description

Job Description:

$5,000 Sign-on Bonus for External Candidates Optum Home &Community Care, part of the UnitedHealth Group family ofbusinesses, is creating something new in health care. We areuniting industry-leading solutions to build an integrated caremodel that holistically addresses an individual’s physical, mentaland social needs

  • helping patients access and navigate careanytime and anywhere.

As a team member of our Senior Community Care(SCC) product, we work with a team to provide care to patients athome in a nursing home, assisted living for senior housing. Thislife-changing work adds a layer of support to improve access tocare. We’re connecting care to create a seamless health journey forpatients across care settings. Join us to start Caring. Connecting.

Growing together. We’re fast becoming the nation’s largest employerof Nurse Practitioners; offering a superior professionalenvironment and incredible opportunities to make a difference inthe lives of patients. This growth is not only a testament to ourmodel’s success but the efforts, care, and commitment of our NursePractitioners. Serving millions of Medicare and Medicaid patients,Optum is the nation’s largest health and wellness business and avibrant, growing member of the UnitedHealth Group family ofbusinesses. You have found the best place to advance your advancedpractice nursing career. As an CCM Nurse Practitioner/ PhysicianAssistant per diem you will provide care to Optum members and beresponsible for the delivery of medical care services in a periodicor intermittent basis.

Primary Responsibilities:
  • Primary CareDelivery
  • Deliver cost-effective, quality care to assigned members
  • Manage both medical and behavioral, chronic and acute conditionseffectively, and in collaboration with a physician or specialtyprovider
  • Perform comprehensive assessments and document findingsin a concise/comprehensive manner that is compliant withdocumentation requirements and Center for Medicare and MedicaidServices (CMS) regulations
  • Responsible for ensuring that alldiagnoses are ICD10, coded accurately, and documented appropriatelyto support the diagnosis at that visit
  • The APC is responsible forensuring that all quality elements are addressed and documented
  • The APC will do an initial medication review, annual medicationreview and a post-hospitalization medication reconciliation
  • Facilitate agreement and implementation of the member’s plan ofcare by engaging the facility staff, families/responsible parties,primary and specialty care physicians
  • Evaluate the effectiveness,necessity and efficiency of the plan, making revisions as needed
  • Utilizes practice guidelines and protocols established by CCM
  • Must attend and complete all mandatory educational and LearnSourcetraining requirements
  • Travel between care sites mandatory
  • CareCoordination
  • Understand the Payer/Plan benefits, CCM associatepolicies, procedures and articulate them effectively to providers,members and key decision-makers
  • Assess the medicalnecessity/effectiveness of ancillary services to determine theappropriate initiation of benefit events and communicate theprocess to providers and appropriate team members
  • Coordinate careas members transition through different levels of care and caresettings
  • Monitor the needs of members and families whilefacilitating any adjustments to the plan of care as situations andconditions change
  • Review orders and interventions forappropriateness and response to treatment to identify mosteffective plan of care that aligns with the member’s needs andwishes
  • Evaluate plan of care for cost effectiveness while meetingthe needs of members, families and providers to decreases highcosts, poor outcomes and unnecessary hospitalizations
  • ProgramEnhancement Expected Behaviors
  • Regular and effectivecommunication with internal and external parties includingphysicians, members, key decision-makers, nursing facilities, CCMstaff and other provider groups
  • Actively promote the CCM programin assigned facilities by partnering with key stakeholders (i e :internal sales function, provider relations, facility leader) tomaintain and develop membership growth
  • Exhibit original thinkingand creativity in the development of new and improved methods andapproaches to concerns/issues
  • Function independently andresponsibly with minimal need for supervision
  • Ability to enteravailable hours into web-based application, at least one monthprior to available work time
  • Demonstrate initiative in achievingindividual, team, and organizational goals and objectives
  • Participate in CCM quality initiatives
  • Availability to checkOptum email intermittently for required trainings, communications,and monthly scheduling You’ll be rewarded and recognized for yourperformance in an environment that will challenge you and give youclear direction on what it takes to succeed in your role as well asprovide development for other roles you may be interested in.
Required Qualifications:
  • Certified Nurse Practitioner through anational board
  • Graduate of an accredited master’s degree inNursing (MSN) program and board certified through the AmericanAcademy of Nurse Practitioners (AANP) or the American NursesCredentialing Center (ANCC), Adult-Gerontology Acute Care NursePractitioners (AG AC NP), Adult/Family or Gerontology NursePractitioners (ACNP), with preferred certification as ANP, FNP, orGNP
  • Active and unrestricted APC license in the State of Maine
  • Current active DEA licensure/prescriptive authority or ability toobtain post-hire, per state regulations (unless prohibited in stateof practice)
  • Access to reliable transportation that will enableyou to travel to client and/or patient sites within a designatedarea
  • Availability to work 24 hours per month, with expectationsthat 16 of the 24 hours/month could be during off-hours (after 5pm, on weekends, and/or holidays) not to exceed 960 hours in acalendar year
  • Ability to gain a collaborative practice agreement,if applicable in your state
Preferred Qualifications:
  • 1 years ofhands-on post grad experience within Long Term Care
  • Ability tolift a 30-pound bag in and out of car and to navigate stairs and avariety of dwelling conditions and configurations
  • Understandingof Geriatrics and Chronic Illness
  • Understanding of AdvancedIllness and end of life discussions
  • Proficient computer skillsincluding the ability to document medical information with writtenand electronic medical records
  • Ability to develop and maintainpositive customer relationships
  • Adaptability to change The hourlyrange for this role is $43.

17 to $84.95 per hour based on full-timeemployment. Pay is based on several factors including but notlimited to local labor markets, education, work experience,certifications, etc. UnitedHealth Group complies with all minimumwage laws as applicable. In addition to your salary, UnitedHealthGroup offers benefits such as, a comprehensive benefits package,incentive and recognition programs, equity stock purchase and 401kcontribution (all benefits are subject to eligibilityrequirements). No matter where or when you begin a career withUnitedHealth Group, you’ll find a far-reaching choice of benefitsand incentives. At UnitedHealth Group, our mission is to helppeople live healthier lives and make the health system work betterfor everyone. We believe everyone-of every race, gender, sexuality,age, location and income-deserves the opportunity to live theirhealthiest life. Today, however, there are still far too manybarriers to good health which are disproportionately experienced bypeople of color, historically marginalized groups and those withlower incomes. We are committed to mitigating our impact on theenvironment and enabling and delivering equitable care thataddresses health disparities and improves health outcomes — anenterprise priority reflected in our mission. UnitedHealth Group isan Equal Employment Opportunity employer under applicable law andqualified applicants will receive consideration for employmentwithout regard to race, national origin, religion, age, color, sex,sexual orientation, gender identity, disability, or protectedveteran status, or any other characteristic protected by local,state, or federal laws, rules, or regulations. UnitedHealth Groupis a drug-free workplace. Candidates are required to pass a drugtest before beginning employment vjm

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