Nurse Practitioner - Transitional Care (Full Time) - Cherry Hill, NJ - Full-time / Part-time

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Listen to our NPs describe their work in Complex Care:      

Key Responsibilities:

Primary Care Delivery

• Delivers cost-effective, quality care to assigned Bundle Payment members in collaboration with their assigned physicians. 


• Manages both medical and behavioral chronic and acute conditions effectively in collaboration with a physician or specialty provider.


• Performs comprehensive assessments and documents findings in a concise/comprehensive manner that is compliant with Bundle Payment visits and documentation requirements and  Center for Medicare and Medicaid Services (CMS) regulations


• Facilitates agreement and implementation of the member's plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physicians while ensuring compliance.


• Evaluates the effectiveness, necessity, and efficiency of the plan of care andmakes revisions as needed.


• Utilizes practice guidelines and protocols established by Bundle Payment.


• Promotes the development of a collegial team (for coverage, trouble shooting, and brain storming)


• Fosters and develops a culture of clinical expertise


• Serves as a role model to internal and external partners


• May be required to participate in on-call program.


• May be required to do home visits

Care Coordination

• Understands the Bundle Payment benefits and associate policies and procedures, and articulates them effectively to providers, members, and key decision-makers.


• Assesses the medical necessity/effectiveness of ancillary services to determine the appropriate initiation of any skilled benefit events and communicates process for providers in accordance with Bundle Payment expectations.


• Coordinates care as members transition through different levels of care and care settings per Bundle Payment protocol.


• Ongoing monitoring of  needs of members and families while facilitating any adjustments to the care plan as situations and conditions change.


• Orders and interventions are reviewed for appropriateness and response to treatment to identify most effective plan of care in alignment with the member's needs and wishes.


• Evaluates plan of care for cost effective services that provide agreed upon outcomes for members, families and providers and decreases high costs, poor outcomes and unnecessary hospitalizations.


• Transition coaching, educating, coordination in collaboration with the team RN, Facility staff, and PCP.


• Case Management of all Bundle Payment residents for 90 days post discharge from the hospital; including coordination with facility staff, home care agencies, and PCPs.

Program Enhancement Expected Behaviors

• Regular and effective communication with internal and external parties including physicians, members, key decision-makers, nursing facilities, Bundle Payment staff and other provider groups.


• Actively promotes the Bundle Payment program in assigned facilities by partnering with key stakeholders (ie: internal sales function, provider relations, facility leader) to maintain and develop membership growth.


• Exhibits original thinking and creativity in the development of new and improved methods and approaches to concerns/issues.


• Functions independently and responsibly with minimal need for supervision.


• Demonstrates initiative in achieving individual, team, and organizational goals and objectives.


• Participates in Bundle Payment quality initiatives.

Qualifications:

• Nurse Practitioner national certification as ANP, FNP or GNP required.


• Current unrestricted license in the State of New Jersey required.


• Proficient computer skills including the ability to document medical information with written and electronic medical records.


• DEA license or ability to obtain.


• Prior experience as a Nurse Practitioner in adult, family or geriatrics specialty for a minimum of three years preferred.


• Excellent communication skills and demonstrated ability to foster a culture of clinical excellence and build collaborative relationships.


• Prior experience in adult teaching environment a plus.


• Demonstrated leadership abilities.


• Prior experience demonstrating astute triage skills


• Valid driver's license, reliable transportation, and current automobile insurance. 
  

   

Optum Complex Care is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

If you want more meaning in your career - as a clinician or a business professional - think of Optum as your calling.

By providing 58 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals.

At Optum, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.

Keywords: Evercare, nursing, nurse practitioner, NP, clinical, long term care, complex care, nursing home

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.