Per Assessment - Senior Community Care - greater Central Hamilton County Ohio (Northern Cincinnati, OH)

UnitedHealth Group•Cincinnati, OH

14h•$90 - $155

About The Position

Optum Home & Community Care’s Senior Community Care team is hiring an Advanced Practice Clinician (APC) for its SNF Patient Connect Program in greater Central Hamilton County, Ohio. The program provides a unique, one-time visit for UnitedHealthcare members transitioning from a hospital to a skilled nursing facility and ultimately back home. Its goals include improving care transitions, reducing 30-day hospital readmissions, and enhancing patient outcomes. Working autonomously and in collaboration with the case management team, the APC conducts comprehensive, one-time health assessments and documents acute and chronic conditions, diagnoses, and quality measures. The visit includes an initial medication review and support for Advanced Care Planning directives. The APC educates patients and families and communicates pertinent findings and medical concerns to attending providers, facility staff, and other necessary team members. The role does not involve ongoing care management or responsibility for orders, treatments, or follow-up. The position involves travel between care sites and work across varied care settings. It requires at least 10 hours per week, attendance at mandatory educational and computer/virtual training, and entering available hours in a web-based application at least one month before the available work time. The APC is also expected to check Optum email intermittently for training, communications, and monthly scheduling.

Requirements

For NPs: active ANCC or AANP certification in Family, Adult, Geriatric, or Adult-Gerontology Primary Care.
For PAs: current NCCPA certification and state licensure.
Active, unrestricted licensure in the state of practice, or ability to obtain it by the start date, without current disciplinary actions or practice limitations.
Active and unrestricted driver's license.
Access to reliable transportation for travel to client or patient sites within a designated area.
Ability to obtain a collaborative practice agreement, if applicable in the state.
Availability to work a minimum of 10 hours per week.
Ability to move a 30-pound bag in and out of a car, navigate stairs and varied dwelling conditions and configurations, and position oneself as needed to perform job duties.
Proficient computer skills, including ability to document medical information using written and electronic medical records.

Nice To Haves

At least 1 year of clinical experience as an APC; long-term care experience preferred.
Experience in geriatric medicine, long-term care, senior living, or home care.
Experience meeting the medical needs of patients with complex behavioral, social, or functional needs.
Understanding of geriatrics and chronic illness.
Understanding of advanced illness and end-of-life discussions.
Proficiency with electronic medical records and technology.

Responsibilities

Perform comprehensive assessments and document findings in a manner compliant with documentation requirements and CMS regulations.
Ensure diagnoses are accurately coded using ICD-10 and appropriately documented to support the diagnosis at the visit.
Ensure all quality elements are addressed and documented.
Complete an initial medication review.
Attend and complete mandatory educational and computer/virtual training.
Travel between care sites.
Communicate medical concerns to patients and necessary team members at the time of the visit.
Contribute to care coordination.
Exhibit original thinking and creativity in developing improved methods and approaches to concerns and issues.
Function independently and responsibly with minimal supervision.
Enter available hours into a web-based application at least one month before available work time.
Demonstrate initiative in achieving individual, team, and organizational goals and objectives.
Participate in Senior Community Care quality initiatives.
Check Optum email intermittently for required training, communications, and monthly scheduling.