Only 24h Left! Nurse Practitioner -Senior Community Care-Per Diem – St. Louis, MO Position Available In St. Louis City, Missouri
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Job Description
Job Description:
$3,500 Sign On Bonus For External Candidates Optum is seeking aNurse Practitioner to join our Home-based Medical Care team in St.
Louis, MO. Optum is a clinician-led care organization, that iscreating a seamless health journey for patients across the carecontinuum. As a member of the broader Home and Community Care team,you’ll help bring home-based medical care to complex, chronicpatients. This life-changing work helps give older adults more daysat home. At Optum, the integrated medical teams who practice withinHome and Community Care are creating something new in health care.
Together, we are bringing high-end medical service, compassionatecare and industry leading solutions to our most vulnerable patientpopulations. Our holistic approach addresses the physical, mentaland social needs of our patients wherever they may be
- helpingpatients access and navigate care anytime and anywhere.
We’reconnecting care to create a seamless health journey for patientsacross care settings. Join our team, it’s your chance to improvethe lives of millions while Caring. Connecting. Growing together.
We’re fast becoming the nation’s largest employer of NursePractitioners; offering a superior professional environment andincredible opportunities to make a difference in the lives ofpatients. This growth is not only a testament to our model’ssuccess 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
-
For NPs:
Graduate of an accredited Master’s degreein Nursing (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 license in the state which you reside
- Current active DEA licensure/prescriptive authority or ability toobtain post-hire, per state regulations (unless prohibited in stateof practice)
- Ability to move a 30-pound bag in and out of car andto navigate stairs and a variety of dwelling conditions andconfigurations
- Availability to work 24 hours per month, withexpectations that 16 of the 24 hours/month could be duringoff-hours (after 5 pm, on weekends, and/or holidays) not to exceed960 hours in a calendar year
- Ability to gain a collaborativepractice agreement, if applicable in your state
- Access toreliable transportation that will enable you to travel to clientand/or patient sites within a designated area
PreferredQualifications:
- 1 years of hands-on post grad experience withinLong Term Care
- Understanding of Geriatrics and Chronic Illness
- Understanding of Advanced Illness and end of life discussions
- Proficient computer skills including the ability to documentmedical information with written and electronic medical records
- Ability to develop and maintain positive customer relationships
- Adaptability to change This role’s wage is based on a per visitamount that falls in the range of $90 to $155, and actual earningswill vary based on number of visits performed OptumCare is an EqualEmployment Opportunity employer under applicable law and qualifiedapplicants will receive consideration for employment without regardto race, national origin, religion, age, color, sex, sexualorientation, gender identity, disability, or protected veteranstatus, or any other characteristic protected by local, state, orfederal laws, rules, or regulations.
OptumCare is a drug-freeworkplace. Candidates are required to pass a drug test beforebeginning employment.