? 15h Left! Nurse Practitioner Senior Community Care – Durham, Wake Counties NC Position Available In Wake, North Carolina
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Job Description
Job Description:
Optum Home & Community Care, part of the UnitedHealth Groupfamily of businesses, is creating something new in health care. Weare uniting 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
-
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 lift a 30-pound bag in and out of car andto navigate stairs and a variety of dwelling conditions andconfigurations
- Ability to gain a collaborative practiceagreement, if applicable in your state
- Access to reliabletransportation that will enable you to travel to client and/orpatient sites within a designated area
Preferred Qualifications:
- 1 years of hands-on post grad experience within Long Term Care
- Understanding of Geriatrics and Chronic Illness
- Understanding ofAdvanced Illness and end of life discussions
- Proficient computerskills including the ability to document medical information withwritten and electronic medical records
- Ability to develop andmaintain positive customer relationships
- Adaptability to changeThe salary range for this role is $104,500 to $156,000 annuallybased on full-time employment.
Salary Range is defined as totalcash compensation at target. The actual range and pay mix of baseand bonus is variable based upon experience and metric achievement.
Pay is based on several factors including but not limited to locallabor markets, education, work experience, certifications, etc.
UnitedHealth Group complies with all minimum wage laws asapplicable. In addition to your salary, UnitedHealth Group offersbenefits such as, a comprehensive benefits package, incentive andrecognition programs, equity stock purchase and 401k contribution(all benefits are subject to eligibility requirements). No matterwhere or when you begin a career with UnitedHealth Group, you’llfind a far-reaching choice of benefits and incentives. AtUnitedHealth Group, our mission is to help people live healthierlives and make the health system work better for everyone. Webelieve everyone-of every race, gender, sexuality, age, locationand income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to goodhealth which are disproportionately experienced by people of color,historically marginalized groups and those with lower incomes. Weare committed to mitigating our impact on the environment andenabling and delivering equitable care that addresses healthdisparities and improves health outcomes — an enterprise priorityreflected in our mission. UnitedHealth Group is an Equal EmploymentOpportunity employer under applicable law and qualified applicantswill receive consideration for employment without regard to race,national origin, religion, age, color, sex, sexual orientation,gender identity, disability, or protected veteran status, or anyother characteristic protected by local, state, or federal laws,rules, or regulations. UnitedHealth Group is a drug-free workplace.
Candidates are required to pass a drug test before beginningemployment