Nurse Practitioner - Transitional Care - Optum, a UnitedHealth Group Company - Ann Arbor, MI - Full-time / Part-time

 We are looking for a Nurse Practitioner to hire in a unique role in the Ann Arbor area!

The Nurse Practitioner will collaborate with RN/Case Managers and directly manage their own caseload of Medicare transition patients from SNF to community – helping them manage their medical condition(s), keeping them safe at home and avoiding unnecessary and preventable readmissions. Patients are managed for a period of 90 days before being discharged from the program.  Advise RN Case Manager and/or directly manage the most complex/acute patients.  This is a patient facing role and the candidate is expected to be flexible to work in the SNF, visit patients in their home setting and work at home for documentation, charting and calls. 

Role is focused on case management, coordination of care and medical management consulting.  Healthcare delivery is not the focus.  Coordination with SNF staff, PCP and visiting nurses are critical to ensure that patient medical needs are met.  Candidate needs to have strong time management skills, be well organized and comfortable working with computer programs including EMR, Microsoft Word, Excel and Outlook, and Good Messaging (mobile email).  Candidate will manage a panel of patients and be expected to organize their days regarding time spent in SNF and in patient's home settings as well as helping to direct the RN/Case Managers.  This is a position that requires significant communication and collaboration with Optum peers and management, SNF staff and community providers.  Candidates will be provided direction by the Clinical Service Manager but are expected to independently manage their daily tasks.  Candidate is expected to provide clinical expertise and review of complex patient management in coordination with RN case managers.  Successful candidates will be self-starters and comfortable fostering relationships across environments, with peers, patients, care givers and community providers. 

This is an outcomes focused position.  Candidate will use clinical judgment, provide risk stratification and determine time and attention to the more complex and high risk patients.  Candidate will not be measured on the volume of visits or even time spent with patients as needs will vary based on acuity, resources and the types of support system patients have in their home setting.  Some patients will not be actively followed while others will require significant time and attention. 

Our mission is to help people live their lives to the fullest. Our values are Integrity, Compassion, Relationships, Innovation, and Performance

Education:

·         Graduate degree from an accredited school.

Work Experience:

·         Prior experience as a Nurse Practitioner in a long term care setting for a minimum or one year preferred

·         Prior experience in adult teaching environment a plus

·         Prior experience Demonstrating Astute triage skills

·         Transitional coaching experience a plus

·         Home care experience highly desirable

·         Direct supervisory experience a plus

Training and Skills (include professional licenses and certifications):

·         Certified nurse practitioner through ANCC/AANP for adult, family and/or geriatrics.  Masters prepared in compliance with state licensure requirements

·         Current unrestricted license in state(s) in which practicing

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

·         Demonstrated leadership abilities.

·         Knowledge of Medicaid, Medicare, and government/CMS regulations preferred

• Self-directed worker

·         Clinical competence in understanding SNF care and care coordination

·         Business background and/or experience preferred

• Ability to develop and sustain trusting and respectful relationships with consumers, families, advocates, medical partners and others


• Detail oriented and organized

·         Communication and customer service skills

·         Critical thinking skills

·         Bilingual desirable

·         Flexible schedule

• Computer skills and technical aptitude

·         Able to travel to several SNF within region for onsite case management

·         Able to travel to the home for home visits

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.