Part Time NP or PA - Senior Community Care - Tri Benton, Franklin Counties WA

$40,000 Student Loan Repayment Or $30,000 Sign-on Bonus For Individuals Who Have Not Previously Participated In This Program

Optum Home & Community Care, part of the United Health Group 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) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. May go into some private homes, group homes, and senior apartments. This life-changing work adds a layer of support to improve access to care.

We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

Serving millions of Medicare and Medicaid patients, Optum is the nation's largest health and wellness business and a vibrant, growing member of the United Health Group family of businesses. You have found the best place to advance your advanced practice nursing career. As an CCM APC you will provide care to your caseload of patients and be responsible for the delivery of medical care services to a pre-designated group of enrollees.

Primary Responsibilities:
Primary Care Delivery

• 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
• Providing a comprehensive clinical assessment for the Patient Connect members in a short term stay/transitional setting in collaboration with the case management team to support better care coordination and health outcomes
• With a focus on reduction in 30-day hospital readmissions in addition to other primary care responsibilities listed here.
• 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, 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 CCM.
• Must attend and complete all mandatory educational and Learn source training requirements.
• Travel between care sites mandatory
• 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 facilities 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

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Active and unrestricted license in the state which you reside
• Certified Nurse Practitioner or Physician…