Optum

posted 3 days ago

Full-time - Entry Level
Insurance Carriers and Related Activities

About the position

The CCM Nurse Practitioner/Physician Assistant per diem role at Optum Home & Community Care involves providing medical care services to members in various settings, including nursing homes and assisted living facilities. This position is integral to delivering quality, cost-effective care while managing both medical and behavioral health conditions. The role emphasizes collaboration with physicians and other healthcare providers to ensure comprehensive care and effective communication with patients and their families.

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.
  • 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 primary/specialty care physicians.
  • Evaluate the effectiveness, necessity, and efficiency of the plan, making revisions as needed.
  • Utilize practice guidelines and protocols established by CCM.
  • Attend and complete all mandatory educational and LearnSource training requirements.
  • Travel between care sites as required.

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 residence.
  • Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations.
  • Access to reliable transportation for travel to client and/or patient sites.
  • Ability to lift a 30-pound bag and navigate stairs and various dwelling conditions.
  • Availability to work 24 hours per month, with expectations that 16 of the 24 hours/month could be during off-hours.

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 including the ability to document medical information with written and electronic medical records.
  • Ability to develop and maintain positive customer relationships.
  • Adaptability to change.

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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