Optum - McLeansville, NC

posted 2 months ago

Full-time - Entry Level
McLeansville, NC
Insurance Carriers and Related Activities

About the position

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. In this role, you will work as a provider member within the Home-Based Medical Care (HBMC) interdisciplinary team in the direct delivery of home-based medical care for a population within an assigned geography. You will be dedicated to improving the health and well-being of patients, collaborating with the Primary Care Provider (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. Your responsibilities will include practicing in accordance with state laws and regulations governing the practice of advanced practice nursing or physician assistants, establishing and maintaining effective relationships with patients, caregivers, and other healthcare professionals, performing comprehensive assessments on newly enrolled patients, developing and updating patient management care plans, and providing education and support to patients and their families. You will also be involved in quality initiatives to ensure the highest standards of care and will participate in ongoing meetings pertaining to patient care and clinical excellence. This position requires you to be on-call for your caseload during business hours and participate in the clinical after-hours on-call program on a rotational basis. You will be rewarded and recognized for your performance in an environment that will challenge you and provide development for other roles you may be interested in.

Responsibilities

  • Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants.
  • Establishes and maintains effective relationships with patients, caregivers, and/or their legal representatives, IDT members, PCPs, other collaborating physicians/providers, and facility staff when applicable.
  • Performs an initial comprehensive assessment on all newly enrolled patients and provides ongoing care thereafter.
  • Develops a patient management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization.
  • Meets with patients and/or their legal representatives to review newly developed or modified care plans; involves the PCP or supervising physician in these meetings, when applicable.
  • Completes follow-up and post-discharge assessments according to documented standard operating procedure.
  • Prescribes appropriate diagnostics and interventions to avoid unnecessary acute admissions.
  • Comfortable with basic procedures of nursing care, including IV placement, blood draws, injections, foley catheters, nasal packing, wound care, etc.
  • Consults with hospital, emergency or post-acute clinical team following notification of patient transfer.
  • Educates patients and/or their legal representatives in disease processes affecting patients and ways to manage them effectively, as well as to promote wellness.
  • Provides counsel, support and education to staff as appropriate.
  • Actively participates in ongoing meetings pertaining to patient care and clinical excellence.
  • Implements HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management and delivery.
  • Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews.

Requirements

  • Completion of Nurse Practitioner accredited program.
  • Current NP license.
  • Current state RN license.
  • 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 Optum Motor Vehicle Safety policy.

Nice-to-haves

  • 2+ years of clinical experience, primary care, home-based medical care, geriatrics or palliative care or emergency/urgent care.
  • Knowledge of CPT, ICD-10 and HCPC codes.
  • Knowledge of clinical standards of care.
  • Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems.

Benefits

  • $40,000 Student Loan Repayment or $20,000 Sign-on Bonus for individuals who have not previously participated in this program.
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