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Bundled Payment Nurse Practitioner - Chicago, IL
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Chicago, IL Chicago, Illinois |
About this job
We have exciting opportunities for Nurse Practitioners in the South Holland/ Homewood and Arlington Heights/Northbrook areas
The Bundled Payment (BP) Nurse Practitioner supervises RN/Case Managers and directly manages their own caseload of Medicare patients transitioning from Skilled Nursing Facility (SNF) to community, keeping them safe at home and avoiding unnecessary and preventable readmissions. The position requires significant communication and collaboration with Optum peers and management, SNF staff and community providers. The BP Nurse Practitioner is expected to provide clinical expertise and review of complex patient management in coordination with RN case managers.
This BP role is focused on case management, coordination of care and medical management consulting--healthcare delivery is not the main focus. This is a patient facing role and the candidate is expected to work in the SNF, visit patients in their home setting, and work at home for documentation, charting and calls.
Successful candidates will be self-starters and comfortable fostering relationships across environments, with patients, care givers and community providers.
Primary Responsibilities:
- Assess patients within 48 hours of admission to the SNF
- Advises RN Case Manager and/or directly manages the most complex/acute patients
- Call and visit patients in their community/home setting post-discharge
- Coordination with SNF staff, PCP and visiting nurses is critical to ensure that patient medical needs are met
- Develops care plan in collaboration with patient/caregiver/provider
- Follows documentation guidelines required for billing Evaluation & Management visits with patients in their home setting
- Ongoing monitoring of needs of members and families while facilitating any adjustments to the care plan as situations and conditions change
- Coordinate community services, support programs and resources available with area agencies
- Periodic telephonic or in-person meetings (weekly with sub-team, monthly with market team) with Optum team
- Act as a resource for others with less experience
- Reviews work performed by RN's/Case Managers and provides recommendations for improvement
- Assist in directing the work and providing clinical guidance for RN Case Managers
- Reviews acute care facility medical records to determine patient inclusion/exclusion into BPP program
- Evaluates the effectiveness, necessity, and efficiency of the plan of care and makes revisions as needed
- Exhibits original thinking and creativity in the development of new and improved methods and approaches to concerns/issues
- Participates in the Transition to SNF program as needed
Requirements
Required Qualifications:
- Certified Nurse Practitioner through ANCC/AANP for Adult, Family, Geriatrics, or Acute Care
- Masters prepared in compliance with state licensure requirements
- Current unrestricted license in state(s) of practice
- Proficient computer skills including the ability to document medical information with written and electronic medical records
- Unrestricted DEA (license to prescribe narcotics/level II info here) per state regulations (unless prohibited in state of practice)
- Prior experience as a Nurse Practitioner for a minimum of one year
- Excellent communication skills and demonstrated ability to foster a culture of clinical excellence and build collaborative relationships
- Demonstrated leadership abilities
- Transporting equipment, supplies and paper information (books, documents) requires packing the carrying case or bag, pulling the case if on wheels, carrying the case by the handle or shoulder strap
- Ability to freely carry a laptop and/or book and paper in arms/hands
- Sitting and standing throughout the day. Amount of time varies based on NP caseload and practice
- Ability to travel between nursing homes and/or care settings
Preferred Qualifications:
- Bilingual
- Experience as a Nurse Practitioner in a long term care setting
- Computer skills and technical aptitude
Careers with Optum.Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
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.
Job Keywords:Nursing, Nurse Practitioner, NP, Clinical, Long Term Care, Complex Care, Nursing Home, Nurse Practitioner Jobs, Hospitalist, Case Mangager, Chicago, IL, Illinois
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