Per Diem - Nurse Practitioner or Physician Assistant Suffolk

Senior Community Care Coach – Nurse Practitioner / Physician Assistant (Per Diem)

$5,000 Sign‑On Bonus available to external candidates.

Senior Community Care (SCC) members provide care to patients in nursing homes, assisted living, and senior housing. The role delivers high-quality, cost-effective care and coordinates care transitions for Medicare and Medicaid members on a periodic or intermittent basis.

• Deliver cost‑effective, high‑quality care to assigned members.
• Manage both medical and behavioral, chronic and acute conditions in collaboration with physicians or specialty providers.
• Perform comprehensive assessments and document findings in compliance with documentation requirements and CMS regulations.
• Ensure accurate ICD‑10 coding and documentation to support diagnoses.
• Complete initial, annual, and post‑hospitalization medication reviews and reconciliations.
• Facilitate member plan‑of‑care implementation by engaging facility staff, families, and primary/specialty physicians.
• Evaluate and revise the plan of care for effectiveness, necessity, and efficiency.
• Utilize CCM practice guidelines and protocols.
• Attend and complete all mandatory educational and Learn Source training requirements.
• Travel between care sites as required.

• Understand payer/plan benefits and communicate them to providers, members, and key decision‑makers.
• Assess medical necessity and effectiveness of ancillary services, communicate to providers and team.
• Coordinate care transitions through different levels and settings.
• Monitor member and family needs and adjust plans as situations change.
• Review orders and interventions for appropriateness and response to treatment.
• Evaluate plan of care for cost‑effectiveness while meeting member, family, and provider needs.

• Maintain regular and effective communication with internal and external parties.
• Promote the CCM program within assigned facilities through stakeholder partnership.
• Show original thinking and creativity in developing improved methods and approaches.
• Work independently and responsibly with minimal supervision.
• Enter available hours into the web‑based application at least one month in advance.
• Demonstrate initiative to achieve individual, team, and organizational goals.
• Participate in CCM quality initiatives.
• Check Optum email intermittently for required trainings, communications, and monthly scheduling.

• Certified Nurse Practitioner through a national board.
• Graduated from an accredited MSN program and board had certification through AANP or ANCC (preferred ANP, FNP, or GNP).
• Active and unrestricted state license in the state of residence.
• Active DEA licensure/prescriptive authority or ability to obtain post‑hire, per state regulations.
• Ability to gain a collaborative practice agreement if applicable.
• Physical ability to move a 30‑pound bag, navigate stairs, and handle varied dwelling conditions.
• Availability to work 24 hours per month, including up to 16 hours off‑hours (after 5 pm, on weekends, or holidays). Max 960 hours per calendar year.
• Valid driver’s license and reliable transportation to travel to client sites within a designated area.

• 1+ year of post‑graduate experience within long‑term care.
• Understanding of geriatrics and chronic illness.
• Understanding of advanced illness and end‑of‑life discussions.
• Proficient computer skills, including electronic medical record documentation.
• Ability to develop and maintain positive customer relationships.
• Adaptability to change.

Hourly pay ranges from $44.09 to $78.70 based on full‑time employment. In addition to salary, benefits include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution. All benefits are subject to eligibility requirements.

United Health Group is an Equal Employment Opportunity Employer under applicable law. Qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

United Health Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.