Per Diem NP or PA, Senior Community Care - King County WA
About The Position
Optum’s Senior Community Care team is hiring a per diem, field-based Nurse Practitioner or Physician Assistant to provide longitudinal care to medically complex patients in skilled nursing facilities throughout King County, Washington. The clinician serves as the primary Advanced Practice Clinician for a patient panel, makes clinical decisions in collaboration with patients’ primary care providers, and is supported by an interdisciplinary team. The value-based care model emphasizes quality rather than patient volume or productivity quotas, with flexibility to manage one’s own patient panel and schedule. The role cares for high-risk Medicare members with multiple comorbidities, advanced disease states, and complex treatment needs. Care addresses patients’ medical, behavioral, functional, and social needs, with coordination among caregivers, facility teams, and other healthcare professionals to improve outcomes and quality of life. The position includes care during short-term sub-acute rehabilitation episodes and work in nursing homes, senior housing, and assisted living settings. Required qualifications differ for Nurse Practitioners and Physician Assistants. Candidates must have the relevant accredited graduate degree, an active and unrestricted state license or the ability to obtain one by the start date, and applicable national board certification. Additional requirements include DEA licensure or the ability to obtain it after hire where permitted, the ability to gain a collaborative practice agreement if applicable, ability to meet the role’s physical requirements, a driver’s license, and reliable transportation. One or more years of clinical experience and relevant geriatrics, complex-care, and documentation experience are preferred. Compensation generally ranges from $53.00 to $79.00 per hour. Total cash compensation includes base pay and bonus and may vary based on factors including local labor markets, education, and work experience. The posting also mentions a $5,000 sign-on bonus for external candidates, a comprehensive benefits package, incentive and recognition programs, an equity stock purchase plan, and a 401(k) contribution, subject to eligibility requirements.
Requirements
- For Nurse Practitioners: graduate of an accredited Master of Science in Nursing or Doctor of Nursing Practice program.
- For Nurse Practitioners: active and unrestricted Nurse Practitioner license in the state of residence, or ability to obtain it by the start date.
- For Nurse Practitioners: board certification through the American Academy of Nurse Practitioners or the American Nurses Credentialing Center in Family, Adult, Gerontology, Adult-Gerontology Acute Care, or Adult-Gerontology Primary Care.
- For Physician Assistants: graduate of an accredited Physician Assistant degree program.
- For Physician Assistants: active and unrestricted Physician Assistant license in the state of residence, or ability to obtain it by the start date.
- For Physician Assistants: board certification by the National Commission on Certification of Physician Assistants (NCCPA).
- Current, active DEA licensure and prescriptive authority, or ability to obtain them post-hire, per state regulations unless prohibited in the state of practice.
- Ability to gain a collaborative practice agreement, if applicable in the state.
- Ability to meet the physical requirements of the job, including moving a 30-pound bag in and out of a car, navigating stairs and varied dwelling conditions, remaining stationary, and positioning oneself to perform physical assessments.
- Driver’s license and access to reliable transportation.
Nice To Haves
- At least 1 year of clinical experience in practice; long-term care, skilled nursing facility, or assisted living settings preferred.
- Experience meeting the medical needs of patients with complex behavioral, social, and/or functional needs.
- Understanding of geriatrics and chronic illness.
- Understanding of advanced illness and end-of-life discussions.
- Proficient computer skills, including documenting medical information in written and electronic medical records.
Responsibilities
- Conduct comprehensive patient assessments.
- Manage acute and chronic conditions, including testing, diagnostics, and interventions.
- Manage members during short-term sub-acute rehabilitation episodes.
- Develop and manage complex treatment plans.
- Lead advanced illness, goals-of-care, and advance care planning conversations.
- Collaborate with the interdisciplinary care team, facilities, and caregivers.
- Provide patient and caregiver education.
- Ensure accurate and complete clinical documentation.
- Manage a patient panel and schedule while serving as a clinical decision-maker in collaboration with patients’ primary care providers.
Benefits
- $5,000 sign-on bonus for external candidates.
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase plan.
- 401(k) contribution, subject to eligibility requirements.
