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Nurse Practitioner / PA Clinical Services Manager -Transitional Care - Miami, FL Region

UnitedHealth Group

Miami, FL
Job Code:
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Job Details

Nurse Practitioner / PA Clinical Services Manager -Transitional Care - Miami, FL Region(Job Number:721681)

Optum Care Plus in the OptumHealth division under the greater UnitedHealth Group, is a national leader in developing and implementing care models that serve the frail and chronically ill population in both the nursing home and community settings.  The Clinical Services Manager (CSM) plays a critical role in the successful implementation of our clinical model.                                        

Service area: Southern Florida

This role is within our Transition To  SNF (TTS)  program:  Optum Complex Care Management provides the Transitions Model of Care for United Healthcare members in a short stay/transitional setting with focus on reduction in 30-day hospital readmissions, reduced ER visits, optimized SNF length of stay, improved completeness and coding accuracy of diagnosis and medical record documentation, increased closure of STAR/HEDIS quality measures, improved completion rates of Advanced Care Planning Directives, and improved patient and family satisfaction.  

Optum practitioners follow the member until the member is discharged from the TTS program conducting a focused visit within 24 business hours of notification, providing a comprehensive visit within 7 days, conducting telephonic or in-person care coordination clinical rounds days 2 through 14 and then every 5 days thereafter.

Primary Responsibilities:

  • Supervising a group of NPs that provide direct patient care in skilled nursing facilities
  • Providing sound Nurse Practitioner leadership and management
  • Developing excellent professional relationships
  • Functioning independently
  • Providing quality service for skilled nursing facilities
  • Providing oversight of  primary case management  for chronic and acute conditions
  • Scheduling and attending meetings 


Job Advanced Practice Clinicians
Primary Location US-FL-Miami
Other Location US-FL-Fort Myers, US-FL-Fort Lauderdale, US-FL-West Palm Beach, US-FL-PORT CHARLOTTE
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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