Per Diem NP or PA, Senior Community Care - Lewis, Thurston WA

UnitedHealth Group•Centralia, WA
•$53 - $79•Onsite

About The Position

Optum’s Senior Community Care team is seeking a Nurse Practitioner or Physician Assistant to provide meaningful, longitudinal care to medically complex patients in community-based residential settings throughout Lewis and Thurston Counties, Washington. This per diem, field-based role serves patients in assisted living, independent living, adult family or foster homes, senior living apartments, and private homes. The clinician is the primary Advanced Practice Clinician for their patient panel and makes clinical decisions while receiving support from an integrated interdisciplinary team. The value-based care model emphasizes quality rather than patient volume or productivity quotas. The role includes caring for high-risk Medicare members with multiple co-morbidities, advanced disease states, and complex treatment needs, addressing their medical, behavioral, functional, and social needs in partnership with caregivers, facility teams, and other healthcare professionals. The position offers clinical autonomy, flexibility, and work-life balance, with no on-call, weekend, or holiday requirements. Compensation generally ranges from $53 to $79 per hour, with total cash compensation depending on factors including local labor markets, education, and work experience. A $5,000 sign-on bonus is available to eligible individuals who have not previously participated in the program. Benefits and incentives are 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 Nurse Practitioner, Adult Nurse Practitioner, Gerontology Nurse Practitioner, Adult-Gerontology Acute Care Nurse Practitioner, or Adult-Gerontology Primary Care Nurse Practitioner.
  • 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 these after hire, per state regulations, unless prohibited in the state of practice.
  • Ability to obtain a collaborative practice agreement, if applicable in the state.
  • Ability to meet physical requirements, 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 practice experience; long-term care, skilled nursing facility, or assisted living facility experience 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 with written and electronic medical records.
  • Strong communication and collaboration skills, including the ability to work effectively across an interdisciplinary care team with RNs and Care Navigators.

Responsibilities

  • Conduct comprehensive patient assessments.
  • Manage acute and chronic conditions, including testing, diagnostics, and interventions.
  • 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.
  • Serve as the primary Advanced Practice Clinician for a patient panel and make clinical decisions in collaboration with patients’ primary care physicians.
  • Address patients’ medical, behavioral, functional, and social needs to improve outcomes and quality of life.

Benefits

  • $5,000 sign-on bonus for eligible individuals who have not previously participated in the program.
  • Competitive compensation.
  • Flexible schedule.
  • Comprehensive benefits package, subject to eligibility requirements.
  • Incentive and recognition programs, subject to eligibility requirements.
  • Equity stock purchase, subject to eligibility requirements.
  • 401(k) contribution, subject to eligibility requirements.
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