- This position will support the TeamMD home based primary care practice
- Obtain and review medical history, conduct physical and psychosocial assessments, analyze and diagnose conditions and develop appropriate plan of care
- Identify gaps in care, interpret diagnostic test and reports and refer appropriately
- Identify risk factors and help mitigate barriers to access care and reduce risk
- Develop interventions to assist members in attaining established goals of care
- Evaluate member's progress in completion of goals of care and re - assess and assist in care management with members
- Serves as a key resource on complex and / or critical issues
- Solves complex problems and develops innovative solutions
- Establishes and maintains communication and a trusting relationship with the member, family / authorized representative and primary caregiver and specialists
- Discuss medical options / interventions with members / families to promote understanding and assist them in making informed decisions
- Clarify member's cultural values that may impact health management / decisions
- Identify prognosis / trajectory of chronic disease that may impact future member health decisions and conduct advanced care planning discussions
- 100% travel in local market area to patient's homes for in home visits
- Active, unencumbered license to practice nursing in the state of assignment or ability to obtain
- Nurse practitioner Certification from either the ANCC or AANP or ability to obtain
- DEA License or the ability to obtain
- Basic Cardiac Life Support (BCLS) Certification
- Geriatric or adult medicine specialty
- Experience working with complex patient populations including multiple chronic diseases with diverse psychosocial backgrounds
- 2+ years of NP experience in the home setting
- Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial
- Basic knowledge of computers and cell phones
- Proven expectation for high quality focus on the clinical model for DSNP which includes Stars and accurate coding and documentation
- Proven comfortable working independently in a home-visit setting
- Proven effectively communicate with elderly and chronically ill patients and families
- Proven excellent organizational skills with the ability to multi - task and manage schedule
- Proven excellent collaboration skills and ability to communicate with care team and physicians
- Bilingual or multilingual
- Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area
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Nurse Practitioner, Sr Community Care - Cleveland, United States - Optum
Description
$10,000 Sign-on Bonus for External Candidates
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs – helping patients access and navigate care anytime and anywhere.
As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care.
We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.
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. We're also the career home for Nurse Practitioners who bring compassion and passion, energy and focus to their work every day. As a Home Visit Nurse Practitioner with Optum, you'll provide primary care home visits for patients in collaboration with the physician of record and patient care team.
The Optum Dual Special Needs Plan (DSNP) at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines Optum trained clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the Optum clinician, the member's Primary Care Provider and other providers, and other professionals.
After conducting an initial comprehensive patient assessment, you will communicate and manage the patients' plan of care across all care providers, family, and caregivers to ensure that timely, patient-centered, appropriate evidence-based medicine is provided. By building solid relationships, you'll have a meaningful impact on the patient's health as you collaborate with the care team to provide direct patient care and develop a plan of care to achieve patient's goal and clinical outcomes.
Primary Responsibilities:
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:
Preferred Qualifications:
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
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, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
