Nurse Practitioner - Senior Care (Per Diem) - Union County, NJ

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.

As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care.

We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

We're fast becoming the nation's largest employer of Nurse Practitioners; offering a superior professional environment and incredible opportunities to make a difference in the lives of patients. This growth is not only a testament to our model's success but the efforts, care, and commitment of our Nurse Practitioners.

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 of businesses. You have found the best place to advance your advanced practice nursing career. As an CCM Nurse Practitioner / Physician Assistant per diem you will provide care to Optum members and be responsible for the delivery of medical care services in a periodic or intermittent basis.

Primary Responsibilities :

Primary Care Delivery

Deliver cost-effective, quality care to assigned members

Manage both medical and behavioral, chronic and acute conditions effectively, and 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 ICD10, coded accurately, and documented appropriately to support the diagnosis at that visit

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

The APC 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 CCM

Must attend and complete all mandatory educational and LearnSource training requirements

Travel between care sites mandatory

Care Coordination

Understand the Payer / Plan benefits, CCM 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 members transition through different levels of care and care settings

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, CCM staff and other provider groups

Actively promote the CCM 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

Ability to enter available hours into web-based application, at least one month prior to available work time

Demonstrate initiative in achieving individual, team, and organizational goals and objectives

Participate in CCM quality initiatives

Availability to check Optum email intermittently for required trainings, communications, and monthly scheduling

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications :

Certified Nurse Practitioner through a national board

For NPs : Graduate of an accredited master's degree in Nursing (MSN) program and board certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC), Adult-Gerontology Acute Care Nurse Practitioners (AG AC NP), Adult / Family or Gerontology Nurse Practitioners (ACNP), with preferred certification as ANP, FNP, or GNP

Active and unrestricted APC license in the State of New Jersey

Current active DEA licensure / prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)

Driver's license and access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area

Ability to move a 30-pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations

Availability to work 24 hours per month, with expectations that 16 of the 24 hours / month could be during off-hours (after 5 pm, on weekends, and / or holidays) not to exceed 960 hours in a calendar year

Ability to gain a collaborative practice agreement, if applicable in your state

Preferred Qualifications :

1+ years of hands-on post grad experience within Long Term Care

Understanding of Geriatrics and Chronic Illness

Understanding of Advanced Illness and end of life discussions

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

Ability to develop and maintain positive customer relationships

Adaptability to change

The hourly range for this role is $43.17 to $84.95 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.