- Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing
- Understands and complies with long-term care policies and procedures, including those that regulate nursing facilities and assisted living communities
- Establishes and maintains effective relationships with members and their legal representatives, facility staff, PCPs and other collaborating physicians/providers
- Performs an initial comprehensive assessment on all newly enrolled members and bi-annually thereafter. Develops a member management care plan upon enrolment and updates it as needed when changes in condition warrant or following hospitalization. Meets with members and/or their legal representatives to review newly developed or modified care plans; involves the PCP in these meetings
- Completes follow-up and post-hospital assessments according to documented standard operating procedure
- Prescribes appropriate diagnostics and interventions to avoid unnecessary transfers/acute admissions
- Consults with hospital physicians following notification of member transfer
- Collaborates with UM staff and PCPs/facility staff to enable medical necessity determinations for requested medical services
- Educates members and/or their legal representatives in disease processes affecting members and ways to manage them effectively, as well as to promote wellness
- Provides counsel, support and education to facility staff
- Supports FCMs in developing and providing in-service educational programs to facility staff
- Participates in management meetings that include, but may not be limited to:
- Weekly case conference reviews
- Monthly staff meetings
- Schedule Joint Operating Committee meetings
- Quarterly Quality Improvement Committee meetings
- Continuing education/journal club programs
- Implements HEDIS measure campaigns and other quality initiatives as directed by Corporate Health Services to ensure the highest standards of care and to promote the improvement of care management and delivery
- On-call for caseload during business hours. May require some participation in clinical on-call program as plan expands
- Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews
- Perform related duties as necessary and other duties as assigned
- Completion of Nurse Practitioner or Physician Assistant accredited program
- Current state RN license if Nurse Practitioner
- Current NP or PA license
- Certification through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC), or the National Commission on Certification of Physician Assistants (NCCPA)
- Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
- Access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Landmark Motor Vehicle Safety policy
- 2+ years of clinical experience
- Knowledge of CPT, ICD-9 and HCPC codes
- Knowledge of clinical standards of care
- Awareness NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems
-
Nurse Practitioner
3 days ago
MRG Exams Richmond, United StatesWe are looking for the right Nurse Practitioner to perform medical assessments on United States Veterans as part of the VA's disability benefits process. · In performing Disability Assessments, you will review medical records electronically through a web portal and perform a focu ...
-
Nurse Practitioner
1 week ago
MRG Exams Richmond, United StatesWe are looking for the right Nurse Practitioner to perform medical assessments on United States Veterans as part of the VA's disability benefits process. · In performing Disability Assessments, you will review medical records electronically through a web portal and perform a focu ...
-
Nurse Practitioner
16 hours ago
NurseRecruiter, LLC Richmond, United States**Nurse Practitioner Opportunity: Transforming Mental Health Care** · Our client is revolutionizing care for individuals with Serious Mental Illness (SMI) by focusing on real outcomes for a historically underserved group. They are dedicated to providing whole-person care, establi ...
-
Nurse Practitioner
1 week ago
MASC Medical Richmond, United States Part timeNurse Practitioner / Physician Assistant – Private Caregiver (Part-Time with Travel) · Location: Richmond, VA · Days of Coverage: · Sunday and Tuesday hours) · Job Summary: · We are seeking a compassionate and professional Nurse Practitioner or Physician Assistant to join our t ...
-
Adult Nurse Practitioner
1 week ago
Clark Alliance Services, Inc. Richmond, United StatesPrimary Role and Responsibilities for Advanced Practice Practitioner, Nurse Practitioner, and/or Physician Assistant · - See up to 10 Medicine patients and review with daytime Physicians for completion · - Submit billing/reports list daily · - Physician to attest/cosign all medic ...
-
Nurse Practitioner- Health Guide
4 days ago
Linear Medical Resources Richmond, United StatesOverview: · **Nurse Practitioner** · Health Guide · Richmond, VA · The Health Guide is a licensed Nurse Practitioner who leads the medical aspects of team-based care for individuals with serious mental illness. · The Health Guide is responsible for whole person assessment and man ...
-
Locum - Nurse Practitioner - Orthopedics
1 week ago
JETT Medical Staffing Richmond, United StatesLocum Nurse Practitioner, Physician Assistant - Orthopedics - opportunity in Virginia. · June 1 - November 30, 2024 · M-F 8am-5pm Shift Schedule · Patient Demographics: Adults/Geriatrics · EMR: Epic · Willing to License · Competitive Compensation · We provide excellent weekly com ...
-
Nurse Practitioner
4 days ago
Team Health Richmond, United States Full timeNurse Practitioner - Emergency Medicine physician job in Virginia : Join an award-winning team of dedicated clinicians who are committed to providing world-class patient care at TeamHealth This multi-facility system, located south of the river in Richmond, is looking for a new te ...
-
nurse practitioner
1 week ago
Bristol Hospice Richmond, VA , USA, United StatesDo you have a heart for hospice? · Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We believe all patients and families entrusted in our care deserve the highest leve ...
-
Nurse Practitioner
3 days ago
Virginia Commonwealth University Health System Richmond, VA, United States$25,000 sign on bonus for offers accepted through June 30, 2024. Terms and conditions apply · The Nurse Practitioner demonstrates a high level of expertise in the assessment, diagnosis, and treatment of the complex responses of individuals, families, or communities to actual or p ...
-
Nurse Practitioner
2 days ago
Lange Recruiting Richmond, VA, United StatesAbout the job Nurse Practitioner / Physician Assistant - At Home Harmony · Launched in 2022, At Home Harmony is revolutionizing healthcare delivery. As a dynamic home-based medical and pharmacy practice, we are passionate about transforming healthcare for seniors by leveraging c ...
-
Nurse Practitioner
1 week ago
Independent Recruiting Richmond, United States Full timeoverview · qualifications · required · Master's degree or higher · 3+ years of experience in ANY of the following: · Primary Care · Value Based Care · Valid Nurse Practitioner (NP) in the state of Virginia (VA) · Home visits are a major component of this job. Are you okay vi ...
-
Nurse Practitioner
5 days ago
Potomac Healthcare Solutions Richmond, United StatesNurse Practitioner - 10 Month · Virginia Union University · Provide care to the students and faculty of Virginia Union University · About the Position: · Potomac Healthcare Solutions is proud to offer a rewarding opportunity to work in the Student Health Services at Virginia Un ...
-
Nurse Practitioner
1 week ago
Porter Richmond, United StatesAre you a Nurse Practitioner who is passionate about altering the status quo of healthcare delivery and improving the lives of members to thrive at their fullest. · Join Porter Cares as we expand into North West Ohio and surrounding states We are a passionate group of individuals ...
-
Nurse Practitioner
1 week ago
Relode, LLC Richmond, United States Full timeBenefits: · Competitive salary · Flexible schedule · Company Description: We are a healthcare organization primarily serving senior citizens living in communities and post-acute care settings. We focus on delivering care to seniors through various healthcare professionals. · Qual ...
-
Nurse Practitioner
1 week ago
NSI Healthcare Richmond, United StatesJob Description · Job DescriptionNurse Practitioner - Pain Management - Richmond VA · Location Richmond, VA 23225 · We are a Private Pain Management Practice that is looking for a caring and compassionate Nurse Practitioner. · We have a warm and friendly environment in our office ...
-
Nurse Practitioner
1 week ago
VieMed Healthcare Staffing Richmond, United States· Ready to make your next career move? VieMed Healthcare Staffing is a premier staffing agency that specializes in connecting skilled professionals with healthcare facilities, ensuring seamless continuity of care and unparalleled service delivery. We are committed to quality, re ...
-
Nurse Practitioner
1 week ago
Team Health Richmond, United States Full timeNurse Practitioner - Emergency Medicine physician employment in Virginia : Join an award-winning team of dedicated clinicians who are committed to providing world-class patient care at TeamHealth This multi-facility system, located south of the river in Richmond, is looking for a ...
-
Nurse Practitioner
2 days ago
TeamHealth Richmond, United StatesNurse Practitioner - Emergency Medicine physician job in Virginia : Join an award-winning team of dedicated clinicians who are committed to providing world-class patient care at TeamHealth This multi-facility system, located south of the river in Richmond, is looking for a new te ...
-
Nurse Practitioner
1 week ago
Capital Area Health Network Richmond, United StatesJOB SUMMARY · Functions under the collaborative practice agreement with a physician, provides professional medical services in the community health center setting. · ESSENTIAL FUNCTIONS Provides comprehensive examination, screening, health education, and treatment of patients w ...
Nurse Practitioner - Richmond, 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 Landmark product, we help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.
We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.
Position in this function works as a provider member within the HBMC interdisciplinary team in the direct delivery of home-based medical care of a population within an assigned geography. Dedicated to improving the health and well- being of patients, this position collaborates with the PCP, HBMC interdisciplinary teammates and consultants, and as needed, the health plan Medical Director and other health professionals, to develop and carry out patients' goals of care in all phases of the patient journey.
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.
#RPO #Red
