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Nurse Practitioner, Long Term Care - Per Diem - Busy Telephonic / Telecommute - NY Hub

UnitedHealth Group

New York, NY
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Job Details

747354 Nurse Practitioner Long Term Care Per Diem Busy Telephonic Telecommute NY Hub

Nurse Practitioner, Long Term Care - Per Diem - Busy Telephonic / Telecommute - NY Hub (747354)

Position Description

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)


We’re fast becoming the nation’s largest employer of Nurse Practitioners; offering a superior professional environment and incredible opportunities to make a difference in the lives of patients. This growth is not only a testament to our model’s success but the efforts, care, and commitment of our Nurse Practitioners.


The CCM Per - Diem On Call Nurse Practitioner is responsible for providing care to members during  evening, night, and weekend hours, primarily telephonically. The on call NP is responsible for the delivery of medical care services to a pre - designated group of enrollees in an assigned multi - state, geographic region - including NY, CT, MA, and RI.


If you are located New York, you will have the flexibility to telecommute* as you take on some tough challenges.


Primary Responsibilities:


Primary Care Delivery after hours

  • Deliver cost - effective, quality care to assigned members
  • Availability to cover members on after hours, particularly weekends and nights, with availability requirements as as specified by CSM
  • Manage both medical / behavioral chronic and acute conditions effectively in collaboration with a physician or specialty provider
  • Perform comprehensive telephonic assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations
  • Perform a medication review before initiating new prescriptions and / or treatments
  • Facilitate agreement and implementation of the member’s plan of care by engaging the facility staff, families / responsible parties, primary and specialty care physicians
  • Evaluate the effectiveness, necessity and efficiency of the plan, making revisions as needed
  • Utilizes practice guidelines and protocols established by CCM
  • Attend regional staff meetings on at least a quarterly basis
  • Maintain all applicable licensing and credentialing for all care sites within assigned geographic region
  • Participate in holiday on - call rotation with other on - call NPs in assigned region

Care Coordination

  • Understand the Payer / Plan benefits, CCM associate policies, procedures and articulate them effectively to providers, members and key decision - makers
  • Assess the medical necessity / effectiveness of ancillary services to determine the appropriate initiation of benefit events and communicate the process to providers and appropriate team members
  • Coordinate care as members transition through different levels of care and care settings
  • Continually monitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change
  • Review orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the member’s needs and wishes
  • Evaluate plan of care for cost effectiveness while meeting the needs of members, families and providers to decreases high costs, poor outcomes and unnecessary hospitalizations

Program Enhancement Expected Behaviors

  • Regular and effective communication with internal and external parties including physicians, members, key decision - makers, nursing facilities, CCM staff and other provider groups
  • Actively promote the CCM program in assigned territories by partnering with key stakeholders (i.e.: internal sales function, provider relations, facility leader) to maintain and develop membership growth
  • Exhibit original thinking and creativity in the development of new and improved methods and approaches to concerns / issues
  • Function independently and responsibly with minimal need for supervision
  • Demonstrate initiative in achieving individual, team and organizational goals and objectives
  • Participate in CCM quality initiatives   
Required Qualifications:
  • Current unrestricted license in at least one state(s) in which practicing - NY, CT, MA and RI the ability to obtain within 90 days in all other states
  • Certified nurse practitioner through ANCC / AANP for adult, family and / or geriatrics (A-GNP preferred)
  • Unrestricted DEA (licenses to prescribe narcotics / level II) per state regulations (unless prohibited in state of practice).
  • Masters prepared in compliance with state licensure requirements
  • 2+ years prior experience as a Nurse Practitioner in a long term care setting or community setting
  • Proficient computer skills including the ability to document medical information with excel spread sheets and electronic medical records
  • Understanding and proficiency with Geriatrics, Acute and Chronic Illness, Advanced Illness, and end of life discussions  
  • Ability to develop and maintain positive customer relationships
  • Adaptable to change
Preferred Qualifications:
  • 3+ years prior experience as a Nurse Practitioner in a long term care setting or community setting
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world’s large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.(sm)

All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. 

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: telephonic, nurse practitioner, call, per diem, family nurse practitioner, FNP, GNP, geriatric nurse practitioner, ANP, adult nurse practitioner, chronic, geriatric, ltc, long term care, New York, New York, Albany, Buffalo, NY, Syracuse, Rochester

Job Details

  • Contest Number747354
  • Job TitleNurse Practitioner, Long Term Care - Per Diem - Busy Telephonic / Telecommute - NY Hub
  • Job FamilyHealthcare Delivery
  • Business SegmentOptumCare

Job Location Information

  • New York, NY
    United States
    North America
  • Other LocationsAlbany, NY
    Buffalo, NY
    Syracuse, NY
    Rochester, NY

Additional Job Detail Information

  • Employee StatusTemporary
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftVariable
  • TravelNo
  • Telecommuter PositionYes
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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