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

Overview

$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, 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.

• 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 and comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations.
• Provide a comprehensive clinical assessment for 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.
• Focus on reduction in 30‑day hospital readmissions in addition to other primary care responsibilities.
• Ensure that all diagnoses are ICD‑10 coded accurately and documented appropriately to support the diagnosis at each visit.
• Address all quality elements and document them.
• Conduct initial and annual medication reviews, and a post‑hospitalization medication reconciliation.
• Facilitate agreement and implementation of the member’s plan of care by engaging facility staff, families, and primary and specialty care physicians.
• Evaluate the effectiveness, necessity, and efficiency of the plan, making revisions as needed.
• Utilize practice guidelines and protocols established by CCM.
• Attend and complete all mandatory educational and Learn Source training requirements.
• Travel between care sites is mandatory.

• Understand payer/plan benefits, CCM associate policies, and procedures, and articulate them effectively to providers, members, and key decision‑makers.
• Assess medical necessity and effectiveness of ancillary services to determine appropriate initiation of benefit events and communicate the process to providers and team members.
• Coordinate care as members transition through different levels of care and settings.
• Monitor member and family needs continuously, facilitating adjustments to the plan of care as conditions change.
• Review orders and interventions for appropriateness and response to treatment to identify the most effective plan of care that aligns with member needs and wishes.
• Evaluate the plan of care for cost effectiveness while meeting the needs of members, families, and providers to reduce high costs, poor outcomes, and unnecessary hospitalizations.

• Engage in 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 (e.g., internal sales, provider relations, facility leaders) to maintain and develop membership growth.
• Exhibit original thinking and creativity in developing new and improved methods and approaches to concerns and 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.

• Active and unrestricted license in the state in which you reside.
• Certified Nurse Practitioner or Physician Assistant through a national board: graduate of an accredited master’s degree in Nursing (MSN) or…