UnitedHealth Group - Goldsboro, NC
posted 3 months ago
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, directly delivering home-based medical care to 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, as well as the health plan Medical Director and other health professionals, to develop and carry out patients' goals of care throughout all phases of their journey. Your primary responsibilities will include practicing in accordance with state laws and regulations governing advanced practice nursing, establishing and maintaining effective relationships with patients and their caregivers, performing comprehensive assessments on newly enrolled patients, and developing patient management care plans. You will also be responsible for prescribing appropriate diagnostics and interventions, consulting with clinical teams following patient transfers, educating patients and their representatives about disease processes, and actively participating in meetings related to patient care and clinical excellence. Additionally, you will implement quality initiatives to ensure the highest standards of care and be on-call for your caseload during business hours, participating in the clinical after-hours on-call program on a rotational basis.
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.
- 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.
- 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.
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
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
