Per Diem Nurse Practitioner or Physician Assistant, LTC - Warwick, RI
Company: UnitedHealth Group
Location: Bellingham
Posted on: March 17, 2023
Job Description:
$10,000 Sign-On Bonus for External Candidates
Combine two of the fastest-growing fields on the planet with a
culture of performance, collaboration and opportunity and this is
what you get. Leading edge technology in an industry that's
improving the lives of millions. Here, innovation isn't about
another gadget, it's about making health care data available
wherever and whenever people need it, safely and reliably. There's
no room for error. Join us and start doing your life's best
work.(sm)
We're fast becoming the nation's largest employer of Nurse
Practitioners; offering a superior professional environment and
incredible opportunities to make a difference in the lives of
patients. This growth is not only a testament to our model's
success but the efforts, care, and commitment of our Nurse
Practitioners.
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 Delivery
- 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
- The APC is responsible for ensuring that all quality elements
are addressed and documented
- The APC will do an initial medication review, annual medication
review and a post-hospitalization medication reconciliation
- Facilitate agreement and implementation of the member's plan of
care 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
LearnSource training requirements
- Travel between care sites mandatory
- 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
- Monitor the needs of members and families while facilitating
any adjustments to the plan of care as situations and conditions
change
- Review orders and interventions for appropriateness and
response to treatment to identify most effective plan of care that
aligns with the member's needs and wishes
- Evaluate plan of care for cost effectiveness while meeting the
needs of members, families and providers to decreases high costs,
poor outcomes and unnecessary hospitalizations
- Program Enhancement Expected Behaviors
- Regular and effective communication with internal and external
parties including physicians, members, key decision-makers, nursing
facilities, CCM staff and other provider groups
- Actively 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/issues
- Function independently and responsibly with minimal need for
supervision
- Ability to enter available hours into web-based application, at
least one month prior to available work time
- Demonstrate initiative in achieving individual, team, and
organizational goals and objectives
- Participate in CCM quality initiatives
- Availability 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:
- Active and unrestricted license in the state which you
reside
- Certified Nurse Practitioner through a national board
- For 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 GNP
- Active Physician Assistant certification through a national
board:
- Board certified by the National Commission on Certification of
Physician Assistants
- Current active DEA licensure/prescriptive authority or ability
to obtain post-hire, per state regulations (unless prohibited in
state of practice)
- Access to reliable transportation that will enable you to
travel to client and/or patient sites within a designated area
- Ability to lift a 30-pound bag in and out of car and to
navigate stairs and a variety of dwelling conditions and
configurations
- 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
- Ability to gain a collaborative practice agreement, if
applicable in your state
- Full COVID-19 vaccination is an essential job function of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodation
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
- Proficient computer skills including the ability to document
medical information with written and electronic medical
records
- Ability to develop and maintain positive customer
relationships
- Adaptability to change
To protect the health and safety of our workforce, patients and
communities we serve, UnitedHealth Group and its affiliate
companies require all employees to disclose COVID-19 vaccination
status prior to beginning employment. In addition, some roles and
locations require full COVID-19 vaccination, including boosters, as
an essential job function. UnitedHealth Group adheres to all
federal, state and local COVID-19 vaccination regulations as well
as all client COVID-19 vaccination requirements and will obtain the
necessary information from candidates prior to employment to ensure
compliance. Candidates must be able to perform all essential job
functions with or without reasonable accommodation. Failure to meet
the vaccination requirement may result in rescission of an
employment offer or termination of employment
Careers with Optum. Here's the idea. We built an entire
organization around one giant objective; make health care work
better for everyone. So when it comes to how we use the world's
large accumulation of health-related information, or guide health
and lifestyle choices or manage pharmacy benefits for millions, our
first goal is to leap beyond the status quo and uncover new ways to
serve. Optum, part of the UnitedHealth Group family of businesses,
brings together some of the greatest minds and most advanced ideas
on where health care has to go in order to reach its fullest
potential. For you, that means working on high performance teams
against sophisticated challenges that matter. Optum, incredible
ideas in one incredible company and a singular opportunity to do
your life's best work.(sm)
PLEASE NOTE The Sign-On Bonus is only available to external
candidates. Candidates who are currently working for a UnitedHealth
Group, UnitedHealthcare or a related entity in a full time, part
time, or per diem basis ("Internal Candidates") are not eligible to
receive a Sign-On Bonus.
Diversity creates a healthier atmosphere: UnitedHealth Group is an
Equal Employment Opportunity/Affirmative Action employer and all
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, age, national origin,
protected veteran status, disability status, sexual orientation,
gender identity or expression, marital status . click apply for
full job details
Keywords: UnitedHealth Group, Providence , Per Diem Nurse Practitioner or Physician Assistant, LTC - Warwick, RI, Healthcare , Bellingham, Rhode Island
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