Per Assessment - Nurse Practitioner, Patient Connect - El Paso

Job Summary

$3,500 Sign-on Bonus for External Candidates! This is a per diem position covering El Paso County, CO. 10 hours a week - flexible schedule.

Optum Home & Community Care
, part of the Optum family of businesses, is creating something new in health care. We are uniting industry‑leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs – helping patients access and navigate care anytime and anywhere. As a team member of our Senior Community Care (SCC) team, we work to provide care to patients in nursing homes, senior housing and assisted living settings.

This life‑changing work adds a layer of support to improve access to care. We are connecting care to create a seamless health journey for patients across settings. Join us to start Caring. Connecting. Growing together.

Patient Connect is a one‑time comprehensive visit designed for patients who have recently been hospitalized and are in a skilled rehab facility. The purpose of this visit is to ensure a smooth transition from rehab to home and to prevent readmission. During this visit you will capture STAR measures, educate the patient, and document all their acute and chronic diagnoses. This position provides the NP multiple opportunities each day to use their experience and education in varying settings to provide guidance and compassion to a vulnerable population during a difficult transition in their healthcare.

The NP will not be managing care but will be communicating pertinent findings to the attending and facility staff. You will not bear the heavy responsibility for orders, treatments, and follow up. You will have the autonomy you deserve, which shows your value and ability to work independently. We would love to hear from you!

• 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
• Responsible for ensuring that all diagnoses are ICD
  10, coded accurately, and documented appropriately to support the diagnosis at that visit
• The APC is responsible for ensuring that all quality elements are addressed and documented
• The APC will do an initial medication review
• Must attend and complete all mandatory educational and computer/virtual training requirements
• Travel between care sites mandatory
• Care Coordination – Communicate with the patient and necessary team members regarding any medical concerns at the time of your visit
• Program Enhancement Expected Behaviors –
  • 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
  • Ability to enter available hours into web‑based application, at least one month prior to available work time
  • Demonstrate initiative in achieving individual, team, and organizational goals and objectives
  • Participate in SCC quality initiatives
  • Availability to check Optum email intermittently for required trainings, communications, and monthly scheduling

• Active and unrestricted Nurse Practitioner license in the state of Colorado
• Certified Nurse Practitioner through a national board:
  Graduate of an accredited master's degree in nursing (MSN) program and board certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC), Adult‑Gerontology Acute Care Nurse Practitioners (AG AC NP), Adult/Family or Gerontology Nurse Practitioners (ACNP), with preferred certification as ANP, FNP, or GNP
• Ability to move a 30‑pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations
• Availability to work 10 hours per week
• Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
• Proficient computer skills including the ability to document medical information with written and electronic medical records

• 1+ years of Nursing Home experience
• Experience in meeting the medical needs of…