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Nurse Practitioner or Physician Assistant, LTC- 5K SIGN ON BONUS - Charlotte Mecklenburg County, NC

UnitedHealth Group


Location:
Charlotte, NC
Date:
04/28/2017
Job Code:
1736792
Apply on the Company Site
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Job Details


Nurse Practitioner or Physician Assistant, LTC- 5K SIGN ON BONUS - Charlotte Mecklenburg County, NC(Job Number:709669)
Description

Serving millions of Medicare and Medicaid patients, Optum is the nation's largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family. We're also the career home for Nurse Practitioners who bring compassion and passion, energy and focus to their work every day. 
 
In this role, you will provide primary care to patients in long term care or community settings. You will be responsible for the delivery of medical care services to a pre - designated group of enrollees.
 
Listen to our NPs describe their work: Nurse Practitioner Video
 
Primary 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 Center for Medicare and Medicaid Services (CMS) regulations
  • The NP is responsible for ensuring that all diagnoses are ICD9 / ICD10 coded accurately and documented appropriately to support the diagnosis at that visit
  • The NP is responsible for ensuring that all quality elements are addressed and documented
  • The NP will do an initial medication review, annual medication review and a post-hospitalization medication reconciliation
  • 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 CPM
  • May be required to participate in on - call program
  • Travel between care sites mandatory
  • After hour on call coverage may be required 
Care Coordination:
  • Understand the Payer / Plan benefits, Optum 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 member's 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, Optum staff and other provider groups
  • Actively promote the Optum programs in community (Skilled nursing facility, Assisted living facility, community) by partnering with key stakeholders (i.e.: internal sales function, provider relations, facility leader) to maintain and develop membership caseload
  • 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 Optum quality initiatives

Job Advanced Practice Clinicians
Primary Location US-NC-Charlotte
Other Location 
Organization Complex Care Management
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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