Part Time NP or PA, Senior Community Care – Spokane WA

Per diem and per assessment internal Advanced Practice Clinicians and Physicians are eligible for $30,000 Sign‑on Bonus or $40,000 Student Loan Repayment option. 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, and group homes. 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.

• 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 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
• Focus on reduction in 30‑day hospital readmissions in addition to other primary care responsibilities listed here
• Ensure that all diagnoses are ICD‑10 coded accurately and documented appropriately to support the diagnosis at the visit
• Address all quality elements and document them
• Conduct initial medication review, annual medication review and post‑hospitalization medication reconciliation
• Facilitate agreement and implementation of the member’s plan of care by engaging the facility staff, families, 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 (mandatory)

• Understand the payer/plan benefits, CCM associate policies and 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
• 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 the most effective plan of care that aligns with the member’s needs and wishes
• Evaluate the plan of care for cost effectiveness while meeting the needs of members, families and providers to decrease high costs, poor outcomes and unnecessary hospitalizations

• 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

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