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Nurse Practitioner M&R - Complex Care - Brooklyn, NY - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Brooklyn, NY Brooklyn, New York |
About this job
Serving 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. We're also the career home for Nurse
Practitioners who bring compassion and passion, energy and
focus to their work every day.
In this role, you will provide primary care to patients in long term care
or community settings. You will be responsible for the
delivery of medical care services to a pre-designated group of
enrollees.
Listen to our NPs describe their work:
Primary Responsibilities:
- 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 - The NP is 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
CPM - 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, Optum 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, Optum staff and other provider groups - Actively promote the Optum programs in community (Skilled
nursing facility, Assisted living facility, community) by partnering with key stakeholders (i.e.: internal sales function, provider
relations, facility leader) to maintain and develop
membership caseload - 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 Optum quality initiatives
Requirements
Required
Qualifications:
Diversity
creates a healthier atmosphere: 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.
Qualifications:
- Proficient computer skills including the ability to document
medical information with written and electronic medical records - Understanding of
Geriatrics and Chronic Illness - Ability to develop
and maintain positive customer relationships - Adaptability to
change - Understanding of
Advanced Illness and end of life discussions - Certified nurse
practitioner through ANCC/AANP for adult, family and/or geriatrics (GNP
preferred) - Current
unrestricted license in state(s) in which practicing - Unrestricted DEA
(license to prescribe narcotics/level II info here) per state regulations
(unless prohibited in state of practice)
Preferred
Qualification:
- Prior experience
as a Nurse Practitioner in a long term care setting or community setting for a
minimum of one year
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)
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)
creates a healthier atmosphere: 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.
UnitedHealth Group is a drug-free workplace. Candidates
are required to pass a drug test before beginning employment.
are required to pass a drug test before beginning employment.
Job Keywords: Nurse Practitioner, NP, long term care, LTC,
Assisted Living, Nursing Home, Primary Care, New York, NY, Brooklyn, Chinatown
Assisted Living, Nursing Home, Primary Care, New York, NY, Brooklyn, Chinatown
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