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in Las Vegas, NV

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Hours Full-time, Part-time
Location Las Vegas, NV
Las Vegas, Nevada

About this job

Southwest Medical Associates (SMA) is a multi-specialty group of Physicians, Nurse Practitioners, and Physician Assistants consisting of over 200 providers, fourteen clinical locations including nine health care centers, five urgent care clinics and an outpatient surgery center. SMA offers patients compassion, innovation, and quality care throughout southern Nevada. SMA is headquartered in the greater Las Vegas, NV area. 


 


Southwest Medical Associates is now part of Optum, part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.


 


Do you have compassion and a passion to help others?  Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)


 


As an SMA Care Plus Nurse Practitioner or PA you will provide primary care to your caseload of patients in long term care settings. You will be responsible for the delivery of medical care services to a pre-designated group of enrollees.


 


Primary Responsibilities:



  • Primary Care Delivery

    • 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/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations

    • Responsible for ensuring that all diagnoses are ICD9/ICD10 coded accurately and documented appropriately to support the diagnosis at that visit

    • The NP is responsible for ensuring that all quality elements are addressed and documented

    • The NP will do an initial medication review, annual medication review and a post-hospitalization medication reconciliation

    • Facilitate agreement and implementation of the member's plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physicians

    • Evaluate the effectiveness, necessity and efficiency of the plan, making revisions as needed

    • Utilizes practice guidelines and protocols established by SMA

    • May be required to participate in on-call program

    • Travel between care sites mandatory

    • After hour on call coverage may be required

  • Care Coordination

    • Understand the Payer/Plan benefits, SMA associate policies, 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 member's transition through different levels of care and care settings

    • Continually 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 most effective plan of care that aligns with the member's needs and wishes

    • Evaluate plan of care for cost effectiveness while meeting the needs of members, families and providers to decreases high costs, poor outcomes and unnecessary hospitalizations

  • Program Enhancement Expected Behaviors

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

    • Actively promote the SMA 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 SMA quality initiatives

Requirements

Required Qualifications:



  • National Nurse Practitioner certification on Adult, Family or Gerontology or ability to obtain, or Physician Assistant certification

  • Licensure in the State where this position is based, or ability to obtain

  • DEA or ability to obtain prior to employment

  • Intermediate level of technical proficiency in the use of computer programs for medical records or internet search for clinical practice

  • Ability to complete clinical care lifting in a provider office environment

Preferred  Qualifications:



  • Strong acute care experience in a primary care clinic, urgent care, or retail clinic

  • Ability to formulate a differential diagnosis

  • Proficient in assessment and development of treatment plans

  • Ability to conceptualize the needs for the team or department and actualize plans for implementation

  • Ability to develop plans of action and gain team consensus towards common goals

  • A background in managed care

  • Familiarity with ICD-9 coding

We offer an attractive base salary, $15,000 sign on bonus, bonus plan, and comprehensive benefits package, including medical, dental, and life insurance, STD/LTD, professional liability, matching 401K, relocation costs, three weeks paid vacation, one week paid CME with $3500 allowance, and eight paid holidays.    
                              
Las Vegas offers the best in entertainment and cultural options, in addition to being an affordable metropolitan area in which to live.  Also, Nevada has no state income tax.  Warm weather, 300-plus days of sunshine, championship golf, hiking, skiing, five-star restaurants, endless attractions and entertainment choices are reasons Las Vegas is one of the fastest-growing cities in the United States.


Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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: Nurse Practitioner, NP, Physician Assistant, PA, Internal Medicine, Adult Medicine, Las Vegas, NV