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Nurse Practitioner - Per Diem - Long Term Care - $2,500 SIGN ON BONUS - Phoenix, AZ

UnitedHealth Group


Location:
Phoenix, AZ
Date:
07/21/2017
2017-07-212017-08-19
Job Code:
1759614
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Job Details


Nurse Practitioner - Per Diem - Long Term Care - $2,500 SIGN ON BONUS - Phoenix, AZ(Job Number:719830)
Description

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)
 
 
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
  • Ensuring that all diagnoses are ICD9/ICD10 coded accurately and documented appropriately to support the diagnosis at that visit
  • Ensuring that all quality elements are addressed and documented
  • 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
  • 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
  • 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-AZ-Phoenix
Other Location 
Organization Complex Care Management
Schedule Full-time
Number of Openings 1
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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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