Nurse Practitioner - Clinical Advisor - Senior Community Care - Richmond, VA - Optum

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. This life‑changing work adds a layer of support to improve access to care.

Caring. Connecting. Growing together.

The CA is responsible for managing up to approximately one half a case load and for providing mentoring, coaching and support for APCs and RNs in the field. The Clinical Advisor partners with their Clinical Services Manager (CSM), Clinical Team Lead (CTL) or Director of Clinical Operations (DCO) to enhance clinical expertise and adherence to Optum's clinical model.

• Set team direction, resolve problems, and provide guidance to members of own team
• Adapt departmental plans and priorities to address business and operational challenges
• Clinically mentor/teach team members as appropriate under the direction of CSM
• Maintain caseload of 50% or more patients and acquire patients according to team needs in conjunction with clinical advisor duties
• JOB DUTIES
  • The CA reports to and is supported by the CSM, CTL, or DCO
  • Partner with the manager or supervisor to ensure effective on‑boarding of new clinicians and ongoing development of existing clinicians
  • Develop innovative approaches and support the implementation and adoption of new clinical and quality initiatives
  • Does not have direct reports but works in coordination with the CTL, CSM, and/or DCO to enhance clinical expertise and adherence to the clinical model through planning and implementing the orientation and development of APC staff
  • Utilize advanced clinical nursing expertise, knowledge of geriatric/chronic disease management, and the long‑term care industry to provide coaching, mentoring, and role‑modeling to new and existing clinicians
  • Oversee and implement clinical staff development programs in collaboration with market leadership
  • Review work performed by others and provides recommendations for improvement in conjunction with supervisor
  • Serve as a resource to APCs/RNs for escalated complex and/or clinical issues
  • Partner with clinicians and other site functions to ensure business development activities are in place to meet business goals
  • Sought out as knowledge‑based expert
  • Communicate needs and issues surfaced by clinical staff to site and corporate leadership
  • Serve as a leader/ mentor
  • Promote the development of a collegial team, for coverage, troubleshooting and brainstorming
  • Foster and develop a culture of clinical expertise
  • Anticipate customer needs and proactively develop solutions to meet them
  • Solve complex problems and develop innovative solutions in collaboration with other stakeholders
  • Perform complex conceptual analyses
  • Forecast and plan resource requirements
  • Authorize deviations from standards
  • May lead functional or segment teams and/or projects
  • Provide explanations and information to others on complex issues
  • Motivate and inspire other team members
• 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
  • Ensuring that all diagnoses are accurate and support the documentation for 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…