Nurse Practitioner Long Term Care, Per Diem - Lee's Summit, Raytown, MO

Company: Optum
Location: Lees Summit
Posted on: September 18, 2022

Job Description:

**$3,500 Sign on Bonus for External Candidates!**

Covering Lee's Summit, Raytown -(Jackson, Clay, and Cass County), MO

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)

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

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 requirement 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

Preferred Qualifications:

1+ years of hands-on post grad experience within Long Term Care

Understanding of Geriatrics and Chronic Illness

Ability to develop and maintain positive customer relationships

Adaptability to change

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

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 at OptumCare. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all. Join us and learn why there is no better place 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.

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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, genetic information, or any other characteristic protected by law.

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

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