Nurse Practitioner or Physician Assistant - Per Diem - New Milford, CT

$88,005 - $173,202/Yr

UnitedHealth Group - New Milford, CT

Part-time - Entry Level

Onsite - New Milford, CT

Insurance Carriers and Related Activities

About the position

The Nurse Practitioner or Physician Assistant position at Optum is a per diem role focused on providing comprehensive medical care to patients in home and community settings, particularly for seniors. This role involves collaborating with healthcare teams to manage both medical and behavioral health conditions, ensuring quality care delivery, and facilitating care coordination across various settings. The position emphasizes the importance of holistic patient care and aims to improve access to healthcare services for Medicare and Medicaid patients.

Responsibilities

• Deliver cost-effective, quality care to assigned members.
• Manage both medical and behavioral, chronic and acute conditions effectively, in collaboration with a physician or specialty provider.
• Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and CMS regulations.
• Ensure that all diagnoses are ICD10 coded accurately and documented appropriately to support the diagnosis at that visit.
• Address and document all quality elements as required.
• Conduct initial and annual medication reviews and post-hospitalization medication reconciliations.
• Facilitate agreement and implementation of the member's plan of care by engaging facility staff, families, and physicians.
• Evaluate the effectiveness, necessity, and efficiency of the care plan, making revisions as needed.
• Utilize practice guidelines and protocols established by CCM.
• Complete all mandatory educational and training requirements.
• Travel between care sites as required.
• Understand and articulate Payer/Plan benefits and CCM policies to providers and members.
• Assess medical necessity/effectiveness of ancillary services and communicate processes to providers and team members.
• Coordinate care as members transition through different levels of care and settings.
• Monitor member and family needs, adjusting the plan of care as necessary.
• Review orders and interventions for appropriateness and response to treatment.
• Evaluate the plan of care for cost-effectiveness while meeting member needs.

Requirements

• Certified Nurse Practitioner through a national board.
• Graduate of an accredited master's degree in Nursing (MSN) program and board certified through AANP or ANCC.
• Active and unrestricted license in the State of Connecticut.
• Current active DEA licensure/prescriptive authority or ability to obtain post-hire.
• Access to reliable transportation for travel to client sites.
• Ability to lift a 30-pound bag and navigate various dwelling conditions.
• Availability to work 24 hours per month, including off-hours and weekends, not exceeding 960 hours in a calendar year.
• Ability to gain a collaborative practice agreement, if applicable.

Nice-to-haves

• 1+ years of hands-on post grad experience within Long Term Care.
• Understanding of Geriatrics and Chronic Illness.
• Understanding of Advanced Illness and end of life discussions.
• Proficient computer skills for documenting medical information.
• Ability to develop and maintain positive customer relationships.
• Adaptability to change.

Benefits

• $5,000 Sign On Bonus for external candidates.
• Comprehensive benefits package including equity stock purchase and 401k contribution.