NP or PA Complex care at Home

$88,000 - $173,200/Yr

UnitedHealth Group - Fairfield, CT

Full-time - Entry Level

Onsite - Fairfield, CT

Insurance Carriers and Related Activities

About the position

Optum is seeking a Nurse Practitioner (NP) or Physician Assistant (PA) for the Complex Care at Home program in Fairfield, CT. This role is part of the Home-based Medical Care team, which is dedicated to providing high-quality medical services to complex, chronic patients in their homes. As a clinician-led care organization, Optum aims to create a seamless health journey for patients across the care continuum, focusing on the physical, mental, and social needs of older adults. The position involves working collaboratively with an interdisciplinary team to deliver comprehensive home-based medical care, ensuring that patients receive the support they need to manage their health effectively. In this role, you will be responsible for performing initial comprehensive assessments on newly enrolled patients and providing ongoing care tailored to their needs. You will develop and update patient management care plans, engage with patients and their legal representatives to discuss care plans, and consult with other healthcare professionals as necessary. The position requires proficiency in basic nursing procedures, including IV placement, blood draws, and wound care, with training provided for new hires and ongoing skills checks. You will also be responsible for prescribing appropriate diagnostics and interventions to prevent unnecessary hospital admissions, conducting follow-up assessments, and educating patients and their families about disease management and wellness promotion. Participation in quality initiatives and HEDIS measure campaigns is essential to ensure high standards of care. Additionally, you will be on-call for your caseload during business hours and participate in an after-hours on-call program on a rotational basis. Continuous professional development is encouraged through attendance at educational courses and meetings, ensuring that you remain current with medical and nursing research and practices.

Responsibilities

• 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
• Comfortable with basic procedures of nursing care, including IV placement, blood draws, injections, foley catheters, nasal packing, wound care, etc.
• Prescribes appropriate diagnostics and interventions to avoid unnecessary acute admissions
• Completes follow-up and post-discharge assessments according to documented standard operating procedure
• 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
• 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
• On-call for caseload during business hours. Participation in clinical after hours on-call program on rotational basis
• Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews
• Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants

Requirements

• Completion of Nurse Practitioner of Physician Assistant accredited program
• Current state RN/NP or PA license
• Certification through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC), or National Commission on Certification of Physician Assistants (NCCPA)
• 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 of emergency/urgent care
• Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
• 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 external candidates
• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution