Optum Home & Community Care, part of the UnitedHealth 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.nn5K Sign on bonus for external candidatesnnAs 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.nnWe’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.nnServing millions of Medicare and Medicaid patients, Optum is the nation’s largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family of businesses. You have found the best place to advance your advanced practice nursing career. As an CCM Nurse Practitioner/ Physician Assistant per diem you will provide care to Optum members and be responsible for the delivery of medical care services in a periodic or intermittent basis.nnPrimary Responsibilities:nnPrimary Care DeliverynnDeliver cost-effective, quality care to assigned membersnnManage both medical and behavioral, chronic and acute conditions effectively, and in collaboration with a physician or specialty providernnPerform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center fornnMedicare and Medicaid Services (CMS) regulationsnnResponsible for ensuring that all diagnoses are ICD10, coded accurately, and documented appropriately to support the diagnosis at that visitnnThe APC is responsible for ensuring that all quality elements are addressed and documentednnThe APC will do an initial medication review, annual medication review and a post-hospitalization medication reconciliationnnFacilitate agreement and implementation of the member’s plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physiciansnnEvaluate the effectiveness, necessity and efficiency of the plan, making revisions as needednnUtilizes practice guidelines and protocols established by CCMnnMust attend and complete all mandatory educational and LearnSource training requirementsnnTravel between care sites mandatorynnCare CoordinationnnUnderstand the Payer/Plan benefits, CCM associate policies, procedures and articulate them effectively to providers, members and key decision-makersnnAssess the medical necessity/effectiveness of ancillary services to determine the appropriate initiation of benefit events and communicate the process to providers and appropriate team membersnnCoordinate care as members transition through different levels of care and care settingsnnMonitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions changennReview orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the member’s needs and wishesnnEvaluate plan of care for cost effectiveness while meeting the needs of members, families and providers to decreases high costs, poor outcomes and unnecessary hospitalizationsnnProgram Enhancement Expected BehaviorsnnRegular and effective communication with internal and external parties including physicians, members, key decision-makers, nursing facilities, CCM staff and other provider groupsnnActively 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 growthnnExhibit original thinking and creativity in the development of new and improved methods and approaches to concerns/issuesnnFunction independently and responsibly with minimal need for supervisionnnAbility to enter available hours into web-based application, at least one month prior to available work timennDemonstrate initiative in achieving individual, team, and organizational goals and objectivesnnParticipate in CCM quality initiativesnnAvailability to check Optum email intermittently for required trainings, communications, and monthly schedulingnnYou’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.nnRequired Qualifications:nnCertified Nurse Practitioner through a national boardnnFor NPs: Graduate of an accredited master’s degree in Nursing (MSN) program and board certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC), Adult-Gerontology Acute Care Nurse Practitioners (AG AC NP), Adult/Family or Gerontology Nurse Practitioners (ACNP), with preferred certification as ANP, FNP, or GNPnnActive and unrestricted license in the state which you residennCurrent active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)nn1+ years of experience as Nurse practitionernnAccess to reliable transportation that will enable you to travel to client and/or patient sites within a designated areannProven ability to lift a 30-pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurationsnnAvailability to work 24 hours per month, with expectations that 16 of the 24 hours/month could be during off-hours (after 5 pm, on weekends, and/or holidays) not to exceed 960 hours in a calendar yearnnProven ability to gain a collaborative practice agreement, if applicable in your statennPreferred Qualifications:nn1+ years of hands-on post grad experience within Long Term CarennUnderstanding of Geriatrics and Chronic IllnessnnUnderstanding of Advanced Illness and end of life discussionsnnProficient computer skills including the ability to document medical information with written and electronic medical recordsnnProven ability to develop and maintain positive customer relationshipsnnProven adaptability to changennAt UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.nnDiversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.nnUnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.