Towson, Maryland
Worcester, Massachusetts
Ogdensburg, New York
Tampa, Florida, Florida
Texas
Saint Louis, Missouri
Posted: 22-Nov-24
Location: Washington, D.C.
Salary: Open
Categories:
Internal Number: 144641287
$40,000 Student Loan Repayment Or $20,000 Sign-on Bonus for Individuals Who Have Not Previously Participated in this Program
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
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.
The Optum at Home (OAH) Dual Special Needs Plan (DSNP) program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of patients (beneficiaries) in their place of residence. The OAH program combines Optum trained clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, comprised of the Optum at Home team of clinicians as well as community-based health care professionals (e.g., PCP, specialists, behavioral health, pharmacy, and other providers). Optum providers serve people in their own homes through annual evaluations, longitudinal visits for higher risk beneficiaries, and care coordination during transitions from the hospital or nursing home and ongoing care management
Nurse practitioners (NP) function in the role of the Advanced Practice Clinician (APC) within the Optum at Home, providing care to our highest-risk health plan beneficiaries. The APC is part of an interdisciplinary team that includes a Case Manager (RN and/or BHA), Care Navigator, Optum Pharmacy, and other supporting team members. APCs support all aspects of patient care, including diagnosis, treatments, and consultations. APCs provide general and preventative care, interventional care, point of care testing, patient/caretaker education, and medication prescribing during in-home, telephonic, and virtual visits with the interdisciplinary team.
The APC is a licensed practitioner who works under a collaborative agreement (protocol) with a supervising physician (If applicable by State). The protocol is a written document in which the physician gives the NP authority to perform medical acts and agrees to be available for immediate consultation if necessary. The APC is responsible for managing health problems and coordinating health care for the Optum at Home beneficiaries in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, diagnosis, development of plan of care, implementation of treatment plan, ongoing evaluation of patient status and response to the plan of care, and ordering drugs, treatments and diagnostic studies. Clinical management is conducted in collaboration with other care team members.
Primary Responsibilities:
Perform comprehensive age-appropriate assessments for complex and chronically ill patients with the frequency established in the model of care
Effectively manage medical and behavioral conditions, acute and chronic, in collaboration with the member’s team of care providers (e.g., PCP, specialists)
Ensure accurate and complete ICD 10 condition documentation with supportive evidence of diagnosis Provide acute, follow-up, and post-hospitalization evaluation to engage resources and strategies to address medical, functional, and social barriers to care
Develop a collaborative relationship with the team of health care providers, while acting as an advocate for the patient’s goals of care
Order and interprets diagnostic tests relative to patient’s age-specific needs
Prescribe appropriate pharmacologic and non-pharmacologic treatment modalities
Implement interventions to support goals to regain or maintain physiologic stability; monitoring the effectiveness of interventions
Facilitate the patient’s transition within and between health care settings in collaboration with the primary care physician and other treating physicians
Provide patients and caregivers with counseling and education regarding health maintenance, disease prevention, condition trajectory, diagnosis, treatment, and need for follow up as appropriate during each patient visit.
Conduct advanced illness and advanced care planning conversations to identify and prioritize the patient’s goals of care for treatment plan development
Verify and document that the patient understands diagnosis, treatment and follow up recommendations
Actively participate in organizational quality initiatives, peer support, and mentoring activities
Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of service delivery
Maintain credentials essential for practice, to include licensure, certification, and CME
Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our members
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.
Qualifications - External
Required Qualifications:
Graduate of an accredited Nurse Practitioner (NP) Program
Current Advanced Practice Registered Nurse (APRN) Licensure with unrestricted license in good standing
Board Certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC) or Adult-Gerontology Acute Care Nurse Practitioners (AG AC NP) in addition to Adult/Family or Gerontology Nurse Practitioners (ACNP)
Active Prescriptive Authority in the state of professional licensure (unless prohibited by state regulations)
Solid computer skills, including Electronic Medical Record
Ability to travel 75% of time for field-based regional travel (This role requires you to travel from one appointment to the next. Should you be driving on your own, you must provide proof of a valid driver’s license from appropriate government authorities, to ensure compliance with the law)
Preferred Qualifications:
2+ years in practice (community or long-term care setting preferred)
Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs
Advanced knowledge of and experience with symptom management
Understanding of Advanced Illness and end of life discussions
Awareness of health literacy and health equity in patient care settings
Ability to work with diverse care teams in a variety of settings
Experience working with patients in non-clinical settings
Effective time management and communication skills
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)
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.
**PLEASE NOTE** The Sign-On Bonus and/or Student Loan Repayment Plan Option is 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 or Student Loan Repayment Plan Option unless they have not previously participated in this program.
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
