Nurse Practitioner, Sr Community Care - Summit, Stark Counties, OH

$10,000 Sign-on Bonus for External Candidates

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.

Primary Responsibilities:

• This position will support the TeamMD home based primary care practice
• Obtain and review medical history, conduct physical and psychosocial assessments, analyze and diagnose conditions and develop appropriate plan of care
• Identify gaps in care, interpret diagnostic test and reports and refer appropriately
• Identify risk factors and help mitigate barriers to access care and reduce risk
• Develop interventions to assist members in attaining established goals of care
• Evaluate member’s progress in completion of goals of care and re - assess and assist in care management with members
• Serves as a key resource on complex and / or critical issues
• Solves complex problems and develops innovative solutions
• Establishes and maintains communication and a trusting relationship with the member, family / authorized representative and primary caregiver and specialists
• Discuss medical options / interventions with members / families to promote understanding and assist them in making informed decisions
• Clarify member's cultural values that may impact health management / decisions
• Identify prognosis / trajectory of chronic disease that may impact future member health decisions and conduct advanced care planning discussions
• 100% travel in local market area to patient’s homes for in home visits

Required Qualifications:

• Active, unencumbered license to practice nursing in the state of assignment or ability to obtain
• Nurse practitioner Certification from either the ANCC or AANP or ability to obtain
• DEA License or the ability to obtain
• Basic Cardiac Life Support (BCLS) Certification
• 2+ years of NP experience in the home setting

Preferred Qualifications:

• Geriatric or adult medicine specialty
• Experience working with complex patient populations including multiple chronic diseases with diverse psychosocial backgrounds
• Experience working in home health or in-home setting
• Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial
• Basic knowledge of computers and cell phones
• Proven expectation for high quality focus on the clinical model for DSNP which includes Stars and accurate coding and documentation
• Proven comfortable working independently in a home-visit setting
• Proven effectively communicate with elderly and chronically ill patients and families
• Proven excellent organizational skills with the ability to multi - task and manage schedule
• Proven excellent collaboration skills and ability to communicate with care team and physicians
• Bilingual or multilingual
• Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area